Death Certificate - Smith, Wanda M_5/1/20081qr ISSON COUNTY DEPARTMEN• F HEALTH
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g �� ��J Princeton, Indiana 47670
812-385-3831
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GIBSON COUNTY AUDITOR
RECORD OF DEATH
THZS IS TO CERTIFY
that accozding to the zecords of the Gibson County Department of Health,
WANDA M. SMITH
Died on O1/22/2002 at 7:OOPM
Residence
P.O. BOx 340
Elberfeld IN 47613
Age at death . 70 Years
Marital Status: Married
Sex: F
Color: White
Cause of death: Liver Failure (6 months), Cirrhoris,
Didb2tES, RERdl Fdllure
. Signed by: Roger Crouse, M.D.
4411 Washington Ave.
Evansville IN 47714
Place of burial Oak Hill Cemetery
or removal:
Evansville IN 47711
Date of burial: O1/25/2002
Funeral home:
S E A L
Alexander North Chapel
4200 StTingtOwn ROdd
Evdn5villEE IN 47711
Signed by � G ��`" ' /�" "�
Gibson County Health Commissioner
Princeton, Zndiana 01/29/
Address Date
Recorded locally in Book No. 14 Page No. 31 Filed: O1/29/2002