Death Certificate - Sollman, Lula_11/28/1983RECORD OF DEATH
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GIBSON COtiNTY DEPARTMENT OF HEALTH
PRINCETON, I?IDIANA
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THIS IS TO CERTIFY, that our records show LULA SOLLMAN ��
9/10/83 at 10:30AM Gib. Gen. Hosp. Princeton, INd.
month day yeaz hour of death street, hospital, rural
Age at Death 8� Sea Fe • Color «h • Marital
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Primazy cause of death given was Cardio pulmonary arrest
Signed bc Robert Aond, MD Princeton, Ind.
physician or coroner addrnsc
Place of burial or
Date of
SEAL
9/13/83
St. Stephens
name of cemetery
Fwneral Director
Warrenton, Ind.
address
ill Ft. Branch,
address
Widowed
write whether married or single
Ind.
�Gy�/'a.,zr �° , �,�
signecL
Gibson County Aealth Commissioner
Oakland City, Ind. 9/14/83
address date
Recorded locall,y in book No. 1� page No. 10 0 Fy�ed : 9/ 14 / 8 3