Death Certificate - Simmons, Gathel_7/9/1985RECOIt_ D O_ll��TH � "
�
, GIBSON COUNTY DEPARTn4ENT OF HEALTH
� � PRINCETON,INDIANA
THIS IS TO CERTIFI, thlt our records show GATHEL SIMMONS ' _{+i�
3/6/76 at Gib. Gen. Hoso. Princeton, Ind.
month day year hour of death street, hospital, rural
9ge xt Death 68 Sex Fe• Cp�or NegroMBrital Status Married
. , yeacs wri[e whether married or single
Primaiy cause of death given wa�_fL�tnertensive cardiovascular disease
Signed by
Ernest Lowenstein, MD
. , phyaician or coroner
Mt. Carmel, I11.
addrnss
Place of burial or removal Sand Hill RR Princeton, . Ind.
.. - - - - - -- ` "�.e'oi cemesery address •
D:ite of burial_._3�� Kendall Princeton, , Ind.
. Flinerol Director � address
SE�\L
s;gaed— G1/'iY/'��''�'i.G. +�0��,�w,v
Gibson Counry Iiealth mmiseioaer
oakland �ty Tnd 6/14/85
. � nddness date
Recorded locally in book No. q page No. 2 2 Fil� ; 3/ 12 / 7 6
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