Death Certificate - Adams, Mabel C_9/13/2000GIBSON COUNTY DEPARTMENT OF HEALTH
� 800 S. Prince St.
• Princeton, Indiana 4767�
812-385-3831 ,
RECORD OF DEATH
. ����-�35��- `� .
►�
THIS IS TO CERTIFY
that according to the records of the Gibaon County Department of Health,
MABEL C. ADp.Mg
Died on 08/24/1994 at 4:30 P.M.
Forest Del Convalescent Center
1020 Vine Street
Princeton IN 47670
Age at death ,
Marital Status:
Cause of death:
Signed by:
77 Years
Widowed
Sex:•F
Color: white
Renal Failure, ASCVD
Edward White, D.O.
410 North Main St.
Princeton IN
Place of burial I.O.O.F. Cemetery
or removal: 1015 N. Hart St.
Princeton IN 47670
Date of burial:
Funeral home:
S E A L
O8/26/1994
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Nps�
. ,� a�S
ooati �'� ��
��
�
Signed by �� ' ' ��� � '�'�
Gibson County Health Commissioner
Oakland City Indiana 08/17/99
Address Date
Recorded locally in Book No. 12 Page No. 97 Filed: 08/30/1994