Death Certificate - Roush, Anna B_12/6/1978�
RECORD OF DEATH
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GIBSON COUNTY DEPARTI'iENT OF HEALTH
PRINCETON, INDIANA
'I'HIS IS TO CERTIFY, that our records show AiVNA B. ROliSH died
5/11/1975
month day year
1:30PM
hour of death
310 IV. Madison Oakland City, Ind.
street, hospital, rural
Age at Death 7� Sex !'e• Color ��;II�i\ZaritalStatus Niarried
years write whether married or single
Primary cause of death given was Acute
edema
Signed by Ho�•rard N. R.opp. DO OaklandCity, Ind.
physician or coroner address
Place of burial or removal Pitont�omery Oakland City, Ind.
name of cemetery address
Date of burial 5/11+/75 Lamb-Hedges i�emorial Chapel Oakland City, Irxi .
F�neral Director address
sE aL
VV '� r ��"� `L Ci-. "ri—! < �.C/
ss�ea
Gibson County Health Co issioner
oaklandCity, Ind. 5/2/77
address
Recorded locally in book No. H- 52 page No. �—Filed: 5�19/75
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