Death Certificate - Smith, Heber_2/25/1988RECORD OF DEATH � �
GIBSON COUNTY DEPARTb9ENT OF HEALTH
PRINCETON, INDIANA
THIS IS TO CERTIFY, that our records show HPhPr Rmi th died
Jan. 27, 1985 et 2:20 P.id. t9irth Osteopathic Hospital Oakland City, Iti.•
month dey yeer hour ot deeth street, haspitel, rurel
Age at Death 54 Sex Male Color White nqarital Status Married .
yeers wri[e whe[her married or single �
Primary cause of death given was Sepsis, Chronic Renal Failure, Hypertension :
Signedby Terry Gehlhausen, D.O. Oakland City, In.
physician or coroner eddress
Place of burial or removal Ocaensville Owensville, In.
name of cemetery eadress "
Dateofburial January 29, 1985 'Holder's Owensville. In.
Funeral D'vector address
SEAL
Recorded locally in book N
x
e
Signed "'✓"r/����•�'�
Gibson County Health Co issioner
Oakland City. In. Feb. 12. 1988
address date
10 Page No 137
Feb. 1, 1985