Death Certificate - Nelson, Maxine B_5/5/2006RECORD OF DEATH
GIBSON COUNTY DGPAP�TM�NT Oi' I3EALTIi
PHINCETON, INDIANA
THIS IS TO C�RTIPY, that our records show r1AXZNG B. NELSON died
December 4, 1986�t� 7•50 P M R R.# 3 Oakland City In•
month d¢y year hout of denth etrcet, hoepitnl, rural
64 Female white Marital Status Married
Age at Deatlt Sex Color write whether marricd or einglc
yeuxs
Cancer of the Ovary, widely Metastatic.
Primary cause of death given �vas_
� •i� � rll _
Signed by Thomas Lutz._M. D
phyaician or coroner address
Place of burial or removal Montctomerv Oakland Citv. 7n
nnme of cemetery address
Date of burial DecembFr 7 198G Montcromerv Oakland Citv In.
FWneral Director address
SEAL
s[�„ea
{;� G��a�?i � ''y'�'
Gibson County Hcalth C�ii�miss�oncr
. Oakland City, In. December 15,1986
address ��
29 December 15, 1986
Recorded locally in boolc No. 11 Page No. F'iled:
�����
MAY � 5 2006
OIB30� V N� ""DIiQh