Death Certificate - Smith, Geneva B_4/24/1984RECORD OF DEA1'H •
•
GIBSON COUNTY DEPARTMENT OF_HEALTH
PRINCETON, INDIANA '
THIS IS TO CERTIFY, that our records show MARY rF1��FVA SMITH - died
6/29/83 a� 4:35
month dny year hour of death
Age at Death 74 Sex— Fe • Color Wh _ MBrita� Status
� Y�� write whather maizied or aingle
Primazy cause of death given was Acute myocardial infarction
. �
Signed by Arun C. Kumar, MC
' � phy�cian or eoroner
address
Place uf burixl;or removal White Church PrincPtnn rnd . -
name of cemetery address
Date of burial 7/2/tt�t �a���� Princeton,_Ind.
Fwneral Director addresa
SEAL
� G��r �.° � /�.�
Signed
� G3eon County Health Commiasioner
Oakland City, Ind. 7/g/83
addreas � . date
Recorded locally in book No. 1� page No. 9 5 Ftiled : 7/ 8/ 8 3
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