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Death Certificate - Shanner, Nellie Dean_9/24/1970. • _ . . . _ . . . . I RECORD OF DEATH '� . _ • � . GIBSON COUNTY DEPARTDIENT OF HEALTH . - � PRINCETON,INDIANA � - - � • THIS IS TO CERTIFY, that our records show NELLIE DF,AN SAANNFtR died month 2 day �hour of death � street, hospital,� rural� � Age at Death R4 - Sex wA.�wi o=Color T;,►h�te � ld��atae� . }-ears . - , . write whether married or single . Primary cause of death given was Fulmonary Embolism _SignedbY n�,...ii. MsF.a.r-�y-��4-.B: - - --`�3�nse�er3�-�43�.-'=---- - - -' � � . � . physician or coroner , . „ , , � address : Place of burial'or removal I.O.O.F. cem: FrancisCO. Ind._ " . � �� _ � � name of cemeterp � - � � � address . ' � � Date of burial � ' . Funeral Director. � • . ,'. � - � � �Jd s �� - � • � - - � , � � � . i �/ ". ' � I! � i SEAL"= . Signe ,; \� � ,, � � ,��. -,[ - � . � G�bson ounty Health Commissioner . .. . �� yy.. � Brinceton. Ind. 8/18/70 _ "'� .. . ` � address ' . .. , � Date� Recorded locally in boo,k'No. � page No.. 242 Filed: ��L2�@ ��ct ' � , , , , r �,� � -.:t_ '.'