Death Certificate - Beadles, Otho N_1/9/2014 Dubois County Health Department
1187 South St. Charles Street
Jasper, Indiana 47546
" y `CERTIFICATE OF DEATH
This Certifies, that according to the records of Dubois County Health Department
Name OTHO N. BEADLES Age 90
Date Of Death April 24, 2007 Time Of Death 12:50 AM
Sex MALE
Marital Status MARRIED Name Of Spouse HILDA J. BUSH
Cause Of Death
MYOCARDIAL INFARCTION
CORONARY ARTERY DISEASE
GENERALIZED ARTERIOSCLEROSIS
Date Of Disposition April 27, 2007
Place of Death MEMORIAL HOSP. & HEALTH CARE CTR. Certifier HONES 0 FENOL,JR., MD
JASPER INDIANA PETERSBURG INDIANA
Funeral Nome U.D. HARRIS & SONS Place Of Disposition BEADLES CEMETERY
PETERSBURG INDIANA 47567 WINSLOW INDIANA
Local Number 0137 Book Number 21 C
Issue Date May 10, 2007
Dubois Counn•wealth Officer — ---� --- --- -`J:'j_!
Not Valid Unless Signed And Sealed