Death Certificate - Schmits, Florence_11/10/1985RECORD OF DEATH
GIBSON COUNTY DEPAR�IEiVT OF HEALTH
PRINCETON,INDIANA
THIS IS TO CEPTIFY, that our records
10/ 27/ g�
month day year
2:52 A.M.
nour ot ueIIth
�w ��NCE A. SCI-IMITS
Gibson General Hospital Princeton, In
street, hospital, rural
Age at Death 7z Ses F�le Color �ite ryl��tal Status �ried
years
write whether married or aingle
Primary cause of death e ven was RPnal Fail�e �
'i'esmisti�l Cancer of Colon
Signed by �• A. K�r, M.D.
physician or coroner
Princeton, In.
address
Place of burial or removnl Holv Cross Ft Branch In
name of cemetery address
Date of burial Oct. 29,1985 Stodcrhill E`t. Branch, In.
Flu�eral Director address
SEAL
Signed
�"F'! `a�'ir ��.se,,?!
Gibson County Health Co ' ioner
Oakland �tv In 10/30/85�
address dnte
Recorded iocally in book No.?A page No. 157 Filed:_ ln/'�n/st5