Death Certificate - Schleker, Lewis_3/27/1998-;�i- GIBSON C0�1TY DEPARTMENT C�HEALTH
•-- � � _. 800 S. Prince St.
""' �� Princeton, Indiana 47670
� � 812-385-3831 �
RECORD OF DEATH
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TAIS IS.TO;CBRTIFY " ' - -
that according to the records of the Gibaon County Department of Health,
_ . � _ _._ _,�._.� _,.�t...
--� --- � - DONA SCHLBTER _ -- -
-•�Died on 12/24/1997 at 2:OSAM
- � •- - Forest Del Convalescent Center
. - _-- =- 1020 Vine Street
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' �.�^.,�.._„_- Princeton IN 47670
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-=si-Age at death . 92 Years Sex: F
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�;' Marital Status: Widowed Color: white\
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Cause of death: Urosepsis
Signed by:
Paul V. Banning, M.D.
Welborn Clinic
Princeton IN 47670
Place of burial Maple Hill
or removal:
Date of burial:
Funeral home:
. . ,.
�
S E A L
Princeton IN 47670
12/28/1997
Stodghill F'uneral Home, INC
304 W. Locust Street
Ft. Branch IN 47648
Signed by
WG�k�,G�.° c,Rr,�l
Gibson County He th Commissioner
Recorded locally in Book No. 13
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- _ --_._.= — =- � --__ - . _
Oakland City Indiana 12/30/97
Address Date
Page No. 53
Filed: 12/30/1997