Death Certificate - Alvis, Blanche_11/2/2001c
' ,.GIBSON CO I-�RLTH Far�2-386-8027 Nov 1'�_15�28 P.O1/01
"� GIBSON COUNTY DEPARTMENT OF HEALTH
- . 800 S. Prince St.
_ Princeton, Sndiana 47670
' 812-385-3831
' RECORD OF DEATH COPY
THI3 IB TO CSRTSFY
that accoidiag to the records of the �ibeoa Couaty Department of Health,
� HLA2QCH8 ALVZS
Died on 08/06/1965 at 2:25pm
Church Nuraing Home
Princeton IN 47670
Age at death . 83 Yeare 8ex: P
Marital 9tatue: Widow Color: Whiteh
Cauee of death: Uremia (5 days), Hydroniphraeis (3 yeare)
Generalized Arterioecleroeis (18 years)
Signed by: Bruce C. Brink, Sr., AO
a10 N. Main
Princeton IN 47670
Place of burial I.O.O.F..Cemetery
or removal: 1015 N. Hart St.
Princeton IN 47670
Date O1 bu=ial: 08/09/1965
Fuaeral home: Colvin & Son
425 N. Main
Princeton IN 47670
S E A L
Signed by �
i eon County ea t Comm ssioner
Princeton, Zndiana 11/O1/O1
�ress Date
Recorded locally in Book No. 7 Page No. 112 Filed: OS/09/1965