Death Certificate - Schmaltz, Norman Gene_5/9/20031
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FP.OM :
• FRX N0.
• May. 06 2003 10:13HM PS
GIBSON COUNTY DEPARTMENT OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
TSZ9 26 TO CE&TIFY
that accor8ing to the reeorda oE ehe Gibeoa county Depart�ea[ of 8ea1tL,
NORMAN G&NE SC�QALTZ
Died On 10/04/i998 at 10:55 PM
Good Samaritan Nuraing Home
210 Gibson
Oakland City IN A7660
Age at death � .
Marital Btatus:
7z ':ears
Narried
SeZZ M
color: white
Cauee of death: MetastatiC Lung Cancer, 6 months.
Signed by: Leka Caju:a, M.D.
R.R,# 3 Hwy 64 W
Oakland City IN 47660
Place of burial Montgomery Cemetery
or removal:
Oakland City TN 47660
nate of burial: lo/oe/1998
Funeral�homa�:�:.:. Corn-COlvin Ftu3eral Home, Inc.
, �,.;�.'.
�����.�:��}'_._>�^�.3.�3 N. Main Street
1''•' -�� `��'•,OG 3and City IN 47660
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Recorded locally in Book No. 13 Page No. 73 Filed: 10/08/1998