Death Certificate - Schleker, Henry_3/27/1998. ::.��; GIBSON CO�iTY DEPARTMENT C�HEALTH
--� � _ .. __� 800 S . Prince St .
- - Princeton, Indiana 47670 _ _
' - 812-385-3831
RECORD OF DEATH
THIS IS�TO .CERTIFY - - � . -- - - -- -
that accor'ding to the records of the�Gibsoa County Department of Health,
•� - _'- - DONA SCHLETSR
-3 -'Died on 12/24/1997 at 2:OSAM
==r=�=�- - Forest Del Convalescent Center
- =_ - _- - 1020 Vine Street
'"T� "= - Princeton IN 47670
�-.Age at death . 92 Years Sex: F
=�.:: =�--
Marital Status: widowed Color: White\
� ;.-: --:
� Cause of death: Urosepsis
" '
Signed by:
e
Paul V. Banning, M.D.
Welborn Clinic
Princeton IN 47670
Place of burial Maple Hill
or removal:
Princeton IN 47670
Date of burial:
Funeral home:
�
S E A L
12/28/1997
Stodghill Funeral Home, INC
30? W. Locust Street
Ft. Branch IN 47648
� Signed by
GJ��I�,��,�z
Gibson County He th Commissioner
Recorded locally in Book No. 13
--- - ' ' �'='= - -
Oakland Citv, Indiana 12/30/97
Address Date
Page No. 53
Filed: 12/30/1997