Death Certificate - Briner, Marcella B_3/6/1986RGCORD OF DEATH �
.
GIBSON COUN'I'Y DEPARTbi�NT OF HEALTH .
� PRINCETON,INDIANA
THIS IS TO CERTIFY, that our records show r4ARCP:LLA B. BRINER died
10/10/80 at 9:52PM Gib. Gen. Hosp. Princeton, Ind.
month day peaz hour of death street, hospital, rural
r�ge at Death 69 Sex Female Color Whlt 1liarital Status Married
years a�rite whether matried or single
Primai�- cause of death given �vas_ Acute myocardial infarction
Signed by Charles E. Hendrix, MD
physician or coroner
Place of bw•ial or removal I.O.O . F.
name of Cemetery
Date of burial 10/13/80 Colvin
Funeral Director
SEAL
Vincennes, Ind.
address
Hazleton, Ind.
address
Princeton, Ind.
address
�'1! GF�/ � �.° 6� , �>,17
Signed
Gibson County Health Commissioner
Oakland City, Ind. 12/4/84
address date
Recorded ]ocally in book No. 1 � page No. z 3 T�ti1ed: 10 / 1