Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Death Certificate - Thompson, Agnes_4/23/1979
,r-�., ..., "y�c ..-c.rc -. i-c,e>:c - � - . ..1�. _ .'� . . . w�'.,L.,.+a-'�!��:. - } . .� i ri:Y:]t...r _. '�'^ � ; � RECORD OF DEATH GIBSON COUNTY DEPARI'MENT OF HEALTH . PftINCETON,INDIANA � n:;= *="�Y,`,dit2�it•. . , � 'I .j - : ," � . � • THIS IS TO CERTIFY, that our records ahow A�NES G- TxOD�S(1N J :�lied �F 2 60 at 9t�5AM 410 N. Main Prinratnn� Ind- �`_ �__ month day_ ._ yeer hour of dea[h atreet, hoapital, rural �.� ' - - . " .. . . . . '. ' ' h ' " Aae at Denth 65 Sex Fe• Color Wh• MSTIt81 StBtlla Si nal a : ycnra � , wrfte whether marriad or eingle . ;j .. Frimnry cause of death given wns CoronaTY oCCluSion Siqned by B• C. Brink, D.O. Princeton, Ind. phyaician or eoroner addresa Place of burial or remova� 7.n-(LF- Hazleton,Tr�d nama of cemetery addreas � Lnte of b�riAl �1/60 (:olvi n R, �nn pxg,nce_tnn,�Tnd, . Flmeral Director nddrese /�� � �° �� �J liV �'��G�i� C� • SEAL Signe�l � _ Gibson County Health Commiasioner 02k1andCity. _Znd.. 3/3Q/7A e<iarn� . • aac� Recorded locnlly in book No 6 pa8e rto- 302 �i� � � � ' � _. . r. 4/30/60 GIBSON COUNTY ABSTRRCT G TITLE CO.. INC. • PPIHCETON. INDI?Nl1 ,' �J �- � _ -� � _ �_�__�. ' — �- � _ _'_ ��.e- ._�..�__ ` _�_� _ _��_ I�__ � � � _�.eew+i!,ec.r.��� . . V �.a,' - _ . -.._ .-;.�- �-s-�.�_ � - •-+. � � . � .�_ _ � �__..._� � � n Y ��. �