Death Certificate - Smith, Geraldine M_5/6/1988i
RECORD OF DEATH � �
GIBSON COUNTY DEPARTAIENT OF HEALTH
PRWCETON, INDIANA
THIS IS TO CERTIFY, that our records show GERALDINE M SMITH died
OctObeY 13.1987n[ 1:30 P.M. 110 S4. ,Tohn Rt. Ft, Rranch, 7n
month dey year hour of dwth slreet, hospi�nl, rurul
Age at DeattL R't Sex Fam;, l a Color wh; ta n•Iarital Status !✓�arried
peers wrice whether merried or single
�
Pr'unary cause of death given wa� M�c��a rd i a 1 Tn fa rr4- i nn � ARHTI
Signedby Glenn O. Dickenson, D.O. Owensville, In.
physician or coroner eddress
Placeofburialorremoval �Yalnut riili Ft. Branch, In. _
name of cemetery address
Dateofburial October 15, 1987 Stodghill Funeral Home Ft. Branch, In.
� Funeral Director address
SEAI.
Recorded locally in book No. 11 Page No. 4 �
. .. �
\
�
Signed "� ��/ ������'�
Cibson Caunty Health Com . ioner
Oakland Citv, In. May 6, 1988
eddress da[e
e
October 19, 1987