Death Certificate - Boren, Mattie Cale_7/16/1975RECORD OF DEATH � �
GIBSOI�T COUNTY DEPARTI1iENT OF HE�LTH
PRINCETON, INDIA\d
THIS IS TO CERTIFY, tliat our records sho�v �TTIE CALr, 30REN died
June 2�, 1975
month day }-eaz
li1jA?4 Owensville Convalescent Center
hour of death street, hospital, rurxl
Age at Death 89 Sex Female Color WhitA �qai�tal Status ur+a„-.,,a
years write whether married or single
Primar�� cause of death given
Debili
Signedby lerrv A. South, h1.D. Poseyville, Tnd. _
physician or coroner address
Place of burial or i•emoval PoseVVille Fnseyville, Ind.
name of cemetery address
Date of Uurial 5/29/7 5 ��errv r^unPra� F�mP gasg3R,#i i e� r��
F�neial Director zddress
SEAL
YA/.lnA//��iE��'1-'�'" "��*�
/�fAi�i'�CV
Gibson County Health Commissioner
Princeton, Ind. 7/1/75
address date
Recorded locally in book \To. h-52 Page No.�_Filed: ���0�7c