Death Certificate - Tenbarge, Laura_2/6/2002_ GIB� COUNTY DEPARTMEN� HEALTH . �
•,800 S. Prince St.
Princeton, Indiana 47670 • �
e 812-385-3831
RECORD OF DEATH
THIS IS TO CSRTIFY
that according to the recorda of the Gibson County Department of Health,
LAIIRA ELLEN TENBARGE
Died on O1/11/2002 at 4:15AM
Owensville Convalescent Center
Hwy 165
Owensville IN 47665
Age at death . 92 Years Sex: F
Marital Status: Widowed Color: White
Cause of death: Cardiomyopathy, Congestive Heart Failure.
Signed by: Chester Burkett, M.D.
P.O. Box 550
Poseyville IN 47633
Place of burial Sts. Peter & Paul
or removal:
Haubstadt ZN 47639
Date of burial: O1/14/2002
Funeral home: Wade Funeral Home, Inc.
119 S. Vine Street
Haubstadt IN 47639
S E A L
Signed by �� G� ��"-""' ;�
Gibson County Health Commissioner
Princeton, Indiana O1/16/02
Address Date
Recorded locally in Book No. 14 Page No. 29 Filed: O1/15/2002