Death Certificate - Richeson, Anna Marie_4/18/1986ItECORD OP DEATH � �
GIESO\T COliNTi DEPAP,'I'33ENT OF HEALTH
PRINCETOV, INDI:INA
THIS IS TO CERTIFT, that our records show AP1NA rIARIE RICHESON
�?-1-85 1t9:55Pb1 615: ��i::Colleqe St., Oakland Ci�, IN
manth � day year hour of death street, hospital, nral
Age at Death 61 Ser female Color �`'hite alarital Status married
. years write �vhether married or aingle
P*imar; cause of death �icen «'as—A � Psn� rat�ry �a i 1 nra
�ign?d b}• W.E.Dye 6I.D. (�aklanrj (" �r Trj
Ph}stc�an or coroner address
['lace of burial or remo�•al Nlontgomery Cemetery Oakland Citv IN
name of cemetery address
Daie of burial 4-4-85 Corn Mortuarv Inc Oakland Citv IN
F4ineral Directot address
S�aL
Grl�/ �i �.°� ,�,?>
Signed /�
Gibson County Healthy Commis_=ioner
Oakland Citl, I�: 5-S-85
address
3ecorded locally in booi: No. 10 Page No, 143 Ftiled: 4-8-
date