Death Certificate - Winstead, Violet Fern_7/22/2002GIBSON �UNTY DEPARTME�OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
VIOLET FERN WINSTEAD
T��S p,�u
Died on 08/21/2001 at 4:35PM
Owensville Convalescent Center
Hwy 165
Owensville ZN 47665
Age at death .
Marital Status:
73 Years
Married
Sex: F
Color: White
Cause of death: Aspiration Pneumonia, Alzheimer's Disease. ASCVD
Signed by: Edward White, D.O.
410 Norcn Main St.
Princeton IN
Place of burial Owensville Cemetery
or removal:
Date of burial:
Funeral home:
S E A L
Owensville IN 47665
08/24/2001
Holders Funeral Home of
Gibson County, Inc.
P.O. Box 518
Owensville IN 47665
Signed by �'`G� � ' ���
Gibson County Health Commissioner
Princeton, Indiana 08/28/Ol
Address Date
Recorded locally in Book No. 14 Page No. 19 Filed: 08/28/2001