Death Certificate - Bouchie, Margaret S_6/30/1983RECORD OF DEATH
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GIBSON COUNTY DEPART➢fENT OF HEALTH
PRINCETON,INDIANA
THIS IS TO CERTIFY, that our records show r4ARGARET S. BOUCHIE died
June 24,1983 at2AM 502 S. Stormont, Princeton, IN
month day year hour of death street, hospital, rural
Age at Death 81 Sex female Colo�°hite �Iarital Statu�divorced -
yeare write whether married or single
Primary cause of death given was Respiratory arrest
Signed byKrishna Murthy M.D. Princeton, IN
phpaician or coroner address
Place of burial or removal St. Joseph Cemetery Princeton IN
name of cemetery address
6/27/83 Colvin Funeral Home Princeton, IN
Date of burial — _
SEAL
Fh�neral Director
address
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s;gnea
Gibson County Health Comi �ssioner
Oakland City, IN F-29-83
nddrecs clate
Recorded locally in book No.__1� Page No. 95 F��cd: 6-29-83