Death Certificate - Sidle, Media_2/20/1976RECORD OF DEATH •
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GIBSON COUNTY DEPART�IENT OF HEALTH
PRINCETON, IA'DIANA
THIS IS TO C�RTIFY, that our records show �� SZDLE
March 1. 1975 at 12�45PM 201 S. Willard St. Ft. Branch. Ind.
month day year hour of death street, hospi[al, rural
Age at Death 94 Sea Female Color Whitei\4arital Statuc Wldowed
}-ears write whether married or single
Primary cause of deatli given was Mqocardial SnfaTCtion
Sisned by A• G. Geick, M.D. Ft. Branch, Ind.
0
physician or coroner address
Place of burial or remova� Walnut Hill Ft. BranCh, Ind.
name of cemetery address
Date of burial_�/��75 Stodghlll Funeral Home Ft. Braneh� Ind.
F�neral Director address
sE aL
�'i t"�!�'� (i-, �.'=�"1 < �.C/
s�gne
Gibson County Health Co ' sioner
Oakland Cit,y, Ind. 2/11/�6
addrnss date
Recorded locally in book No. A—S2 Page I�TO.—�iled: 3I5�75