|
Grant County Government, Indiana Health Department Vital Records Read this Disclaimer - Not for Official Use! |
| Decedent's Information | |
| Registered # | 1987-474 |
| Date Filed | 09/03/1987 |
| Decedent | ELLEN N ADAMS |
| Address | *NOT STATED |
| City, St Zip | *NOT STATED, ** 00000 |
| County | *NOT STATED COUNTY |
| Sex | F |
| Race | WHITE |
| Occupation | LABORER |
| Born on | 08/25/1905 |
| in | *NOT STATED, ** |
| Died on | 08/29/1987 |
| Time of Death | *NOT STATED |
| Place | NURSING HOME |
| Name of Place | BRADNER VILLAGE HEALTH CARE |
| City of Place | MARION, IN |
| County of Place | GRANT COUNTY |
| At the Age of | 82yrs 4day |
| Marital Status | WIDOWED |
| Spouse | |
| Father | WILLIAM FLOOK |
| Mother | LYDIA HAYNES |
| Informant | SELF PREARRANGEMENT |
| City, St | *NOT STATED, ** 00000 |
| Relation | *NOT STATED |
| Funeral Home | FERGUSON FUNERAL HOME |
| Address | 201 W MAIN ST |
| City, St | VAN BUREN, IN |
| Disposition | VAN BUREN MASONIC CEMETERY |
| City | VAN BUREN, IN |
| Method | *NOT STATED |
| on | 09/01/1987 |
| Certifier | EDWARD A. BUHR |
| Title | M.D. |