Death Certificate - Poulson, Edna_4/5/1966�
LocaL : ` .
RECORD OF DEATH
CITY DEPARTD'IENT OF HEALTH
PRINCETON, INDI�N:1
THIS IS TO CERTIFY, that our records sho�v EDNA POULS02I died
- 00
May 15, 1965 _at llam R. R. # 2 Francisco,-Indiana
month day Year � hour of death street, hospitai, rural�
Age at Death 53 Seti FemRle Color White — Widowed
years , �rrite whether married or single
Primarp cause of deatli o ven �t•as__�Ie±ae .a .� •ar_cinoma of Cervix
Signed by�fili iam E Dve�M.Q, Oakland City� Indiana
__ - - _�_ . . physician �or-comner.. ._ � -.- -, � - , , _-_ _ - - - -- � address _ _ . — _ . .}-
Place of burial or removal Patoka ..meter� Patoka, Indiar_a
name of cemetery address
Date of burial- _�� �6K Colvin and Son .Mortuary Princeton, Indiana
�'`= ' ; Funeral Director - ' � address �
-: � ' - /
`SEA•L— - _ -�i1ed: 5�17�65 Slgne �ic u�e / ' �y,
` � - � - - -- Princeton, Indiana� !}/5�66
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Recorded loe'ally-iti tiook No. x-5� Page I�jo. 7�