Death Certificate - Romerhausen, Pauline Elizabeth_7/31/1984RECORD OF DEATH
G1i�S0�T COUNTY DEPAPT�iENT OF HEALTH
PRINCETON,INDI.INA
Z`�.S I.S TQ Ci�'R.Tjj''1, that our records show PATiT.TNF. FT T7ARFTH R(lti7FRHA(7SFT�t djed
f/2�?d a} 72_45PM 9(1"� S_ ,7PffPrson Princ-Pt-�n, TNd_
month day year hour of death street, hospital, rural
Age at Death 61 Sex Fe' Color ��' Tlarital Status Married
yeais write whether married or aingle
Primary cause of death given w•as Glioblastoma Multiforme
�i2„� h,. Emil Lee Pleber, MD__ Evans�ille, Ind.
physician or coroner address
Place of burial or removal Walnut Hi11
name of cemeterp
Date of buria� ��z�sa Colvin F. H.
ki�neral Directoz
$EAL —
.
RR Ft. Branch, Ind.
address
Princeton, Ind.
address
�G�/�i��,�j�
j
Gibson County Health Commissioner
Oakland City, Ind. 7/5/84
address
Recorded locally in book No. 1� page No. 12 3 ��� : 7/ 5/ 8 4
date