Death Certificate - Smith, Emmaline Elizabeth_1/28/1974RECORD OF DEATH �
GIBSON COUNTY DEPART\'IENT OF HEALTH
PRINCETON, INDIaNA
THIS IS TO CERTIF'Y, that our recoi•ds show EMM.ALI�?5 ELI7,ABETH SMITH died
2/18/1954 at 7i20PN Gib. Gen. Hpsp. Princeton, Ind.
month day year hour of death ' street, hospital, rural
' Age at Death 51 4ex Female Color��Ihi ta Biarital Status_ Mar*ied
_ pears � write whether married or single
Primary cause of death given was Cerebral h morr�H�trP '
., Signed by R. G. G�'lck. AT.D. �'t• Branch-,—_I+�d
- • , ; physician or coroner address � �
Place of burial or removai ld�lnut F111 Ft. Branch. Ind.
, . . � • ', '� � �name of-cemetery address � - —
Date of burial 2/26/§L� Laib Funara� unmP ��� $�Si�, �"�,
� F�neral Director address
SEAL -
Signed �'�"' -"y.���421��""'�� _
Gibson Coun[y Health Commissioner
Princeton, Znd. �/���iy
� address � dy{�
Recorded locally in'book No. 6 Page IQo.�..l_�Filed: ����/S�I
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