Death Certificate - Tepe, Nettie_3/26/1968' RECORD-0F DEATH - - ,. � . • . . . � .i� :. � . � '. � ' . . ;GIBSO?�T COUNTY�DEPART\1E1'T OF HEALTH _ � _ . . ; . . ,- -. ' . �. . .. .� .. _ PRINCETO\;�I\DIA\_4, : .- . � : '. � - " � � . '.,EmTz L���T?��a ^FPF � , TAIS �IS TO,CERTIFY; that our records show _ - , -- d�ed - - . �' = - - July 6, 1957 . at6:4$�PN-Gibson Gen Hosp�P,r_inceton;Ind: ' �. ' month� . ` 0a}-' � � � - � � �}-ear - �" . - � �hour of death � � , � street,�hospital, rural� � _ " 9ge at Death 5�', " Ses remale Color lJhYte • i•tarried _ . . .. ., . . Years�.. . " ." . . . . " - �crite ���hether married.�or single,- � . Primary cause of death given �vas ' � Con�estive Heart Failure• - ' Signed by = Will-iam'E'. nye-, �M.�:: - - : - '_ -Gakland �Ci.ty,.�Indi,ana;_. — - . � ; � � � �-ph}°sician•or coroner - � . _ • ' . _' � address � . . � —. . Place of burial or removal-Somerville � � - Somerville, Ir_dianG . ' .. _ . . � name_�of cemeten= _ � � . � � _ address . �'� - - ; ! ' �..Date.of�burial 7-9-57 -=�orn 2; .Reed � . _ . O�kl'and City,, Zndiana. � - � " � - - •� Funerssl �Director � • � � - � i�ss � � � � � ' n� ' • -`.SEAL~ . .. . � Sign�t/��'/� %i�,c%�YJ . - .1 � � _ � , � _ . _ � � � � ... - _: � Gib�on,Count>-. Health CommSss�oner � � � _ ��� . • � � . _ . . ' ' . PrinC°tOri, `1!1G�lana �. . u_12=67 . . ^ � -- ' - -� � - - address � . - . . - date � ,�. �% � .'4 � \.:�� . �. , �.� - � . � _ . . .. . Recorded locallp in Uook \To. ' ' 6 � Page No' `- 213 - , . - � .. � . � Fi-1ed' 7-20-57.. - . " ,