Death Certificate - Schwartzlose, Nelson_4/16/1998GIBSON C�UNTY DEPARTMENT�F HEALTH
600 S. Prince St.
Princeton, Zndiana 47670
812-385-3831
RECORD OF DEATH
THZS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
NELSON E. SCHWARTZLOSE
Died on 03/08/1998 at 1:18 AM
Residence
R.R.# 1 Box 30
Patoka IN
Age at death . 85 Years Sex: M
Marital Status: Married Color: White
Cause of death: Cardiac Respiratory Arrest
CA Coloon with Metastasis
Signed by: Bruce C. Brink, Sr., DO
410 N. Main
Princeton IN 47670
Place of burial Oak Hill Cemetery
or removal:
Date of burial:
Funeral home:
S E A L
Patoka IN 47666
03/10/1998
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by _ �i/�/��7�'� �%l�
Gibson County Health Co 'issioner
Oakland City, Zndiana 03/16/98
Address Date
Recorded locally in Book No. 13 Page No. 61 Filed: 03/16/1998