Death Certificate - Adams, Buford B_8/14/2002J
GIBS• COUNTY DEPARTMENT O�EALTH
800 S. Prince St.
Princeton,�Indiana 47670
812-385-3831
RECORD OF DEATH
THZS I3 TO CERTZFY
that accordiag to the recorda of the Gibson County Department of Health,
BIIFORD B. ADAMS
Died on 12/24/2001 at 7:49PM
Gibson General Hospital
� 1808 Sherman Drive
Princeton ZN 47670
Age at death . 70 Years Sex: M
Marital Status: �Married Color: White
Cauae of death: CVA, Bronchial Pneumonia, COPD,
� Atherosclerotic Heart Disease
Signed by: Bruce C. Brink, Jr., D.O.
410 N.Main �
Pzinceton IN 47670
Place of buzial Atkinson Chapel Cemetery
or removal:
Oatsville IN
Date of burial: 12/27/2001
i+uneral home: Colvin Funeral Home, Inc.
425 N. Main St.
orinrAYnn TN 47670 �
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Signed by � � ������
Gibson County Health.COmmissioner
Princeton, Indiana 12/28/O1
Address Date
Recorded locally in Book No. 14 Page No. 28 Filed: 12/28/2001