Death Certificate - Sollman, Hulda_12/11/1980RECORD OF DEATH � �
GIBSON COUNTY DEPARTh4ENT OF HEALTH
PRINCETON, INDIA\*A
THIS IS TO CERTIFY, that our records show �LDA 'L. SOLLMAN died
4/21/$0 at 11:30AM Holiday Manor Nrsg. Home Princeton, IN
month day yeaz hour of death strnet, hospital, rural
Age at Death 94 SeX Fe. Color i�hMarital Status Widowed
years write whether martied or single
Primary cause of death given was
Hypostatic pneumonia, bilateral
Signed by R. E
Place of burial or
Date of burial—
SEAL
i�leitzel, N.D.
physician or coroner
a� St. Paul
name of cemetery
4/24/80
Flineral Director
Princeton, Znd.
Ft.
Stodghill
address
Branch,Ind.
addre,s
Ft.
address
Branch,Ind.
0
lN ���1�%�1 G�. � ��t%�
Sign
Gibson County Health Commi �oner
Oakland City, Ind. 4/28/80
address date
Recorded locally in book No. 10 Page No. 10 Filed: 4�28�80