Death Certificate - Utley, Elnora A_10/17/1984RECORD OF DEATH •
�
GIBSON COFINTY DGPARTbiENT OF HEALTH
PRINCb'TON, 1NDIANA ,
THIS IS'TO CERTIFY, that our records show ELNORA A. UTLEY died
9/30/84 at SPM Gib. Gen. Hosp. Princeton, Ind
month day year hour of death atreet, hospital, rural
65 Fe. Wh. Married
Age at Death Sex Color Marital Status "
y�B - write whecher married or eingle
Primary cause of death given wac Respiratory arrest
Signed by
Place of burial or
Date of buriaL—
SEAL
K. Murthy, MD Princeton, Ind.
physician or coroner . . , address
n„�,i Holy Cross Ft. Hrancn, Ind.
� name of cemetery
10/•3/.84 Stodghill
FLneral DirecWr
address
Ft. Branch, Ind.
address
�"�/ �'Li ��,�,t�
Gibson County Health Commiesioner
Oakland City, Ind. 10/10/84
. ad�ess date
Recorded locally in book No. 1� page No. 130 ���: 10/9/84