Death Certificate - White, Elza L_8/5/1983RECORD OF DPATH � �
GIBSON COUNTY DEPARTMENT OF HEALTH
. PRiNCETON, INDIANA
'I'HIS IS TO CERTIFY, that our recorda ahow ELZA L. WHITE
2/14/73 died
8t 3PM Gib. Gen. Hosp. Princeton, Ind.
month day y¢ar hour of death �
stmet, hospitat, rura�
Age at Death �� Sex M' �.
Color t�rari�] Statu� Married
Yeale ..
A'imary cause of death given
wnte whether married or singte
Carcinoma of left lung
Signed by__ Willia� R. Wells MD _ Princeton, Ind.
physician or coroner � address --"
Place of burial or removal Patoka, Ind.
_ - ' - _ _' _ . ' _'__ _ ,.arne �o: cemeiery add['esa —___
Date of burial 2/17/73 Colvin & Son Princeton, Ind.
� � , FS�nem1 Director addrese --
3EAL
Lt%G��a"'ar � ,,�,�j
Signed
Gibeon Connty Health Commissioner -
Oakland City, Ind. 8/5/83
addeese date
Recorded locally in book No. 8 page No. 69 Fvl�
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f . . .
Page No.
FOpY 10
Prepamd by BENTON TITLE
2/21/73
Princeton, Indinna