Death Certificate - Ross, Phyllis Jean_9/25/1995GIBSON �NTY DEPARTMENT OF �ALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTZFY
� that according to the records of the Gibsoa County Department of Health,
PHYLLIS JEAN ROSS
Died oa OS/19/1995 at 2:55am
Wirth Osteopahtic Hospital
Hi Way 64 West
Oakland City IN 47660
Age at death . 63 Years
Marital Status: Married
Sex: F
Color: White
Cause of death: Cardio Respiratory Arrest (acute),
Asthema, Hypertension
Signed by:
Henry A Peters, DO
Hwy 64 West
Oakland City ZN 47660
Place of burial Spurgeon Cemetery
or removal:
Date of burial:
Funeral home:
S E A L
Spurgeon IN
O5/22/1995
Corn-Colvin Funeral Home, Inc.
323 N. Main Street
Oakland City IN 47660
Signed by �j�j✓��-t"'19�.ac�, �+�,.Z
Gibson County He� th Commissioner
Oakland City, Indiana 09/19/95
Address Date
Recorded locally in Book No. 12 Page No. 116 Filed: 05/24/1995