Death Certificate - Skelton, Vernon Herschel_10/3/1997GIBSON C�UNTY DEPARTMENT�F HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
Do(-b���t�i^�a
RECORD OF DEATH
THZS IS TO CSRTIFY "'
that according to the records of the Gibson County Departmeat of Health,
VERNON HERSCHBL SRELTON
Died oa 12/12/1996 at 10:15PM
Good Samaritan Nursing Home
210 Gibson
Oakland City IN 47660
Age at death . 86 Years
htarital Status: Married
Sex: M
Color: White
Cause of death: Acute Seizure Activity (3 days), C Fi F,
Dementia, Presumed underlying undiagnosed Cancer
Signed by: Terry Gehlhausea, DO
Hwy 64 West
Oakland City ZN 47660
Place of burial St. Peter & Paul
or removal:
Date of burial:
Funeral home:
S E A L
Haubstadt IN 47639
12/15/1996
Corn-Colvin Funeral Home, Inc.
323 N. Main Stree*_
Oakland City ZN 47660
Signed by l�U�/ `�'�lG. �j�- �a'�
Gibson County Aealth Commissioner
Oakland Citv, Indiana O1/23/97
Address Date
Recorded locally in Book No. 13 Page No. 27 Filed: 12/18/1996