Death Certificate - Bailey, Irmgard_12/8/2003�
GIBSO�JUNTY DEPARTMENT OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIPY
that according to the records of the 6ibson County Department of Health,
ZRMGARD SAILEY
Died oa il/17/2003 at 1:03PM
xesidence
R.R.# 2 Box 155
Princeton IN
Age at death . 81 Years
Marital Status: Married
Sex: F
Color: White
Cause of death: Colon Cancer, 1 1/2 years.
.Chronic Obstructive Pulmonary Diseases
Recurrent Urinary Znfection
Manner of death: Natural
Signed by: Rameshbhai P. Pate1, NID
los x. 2nd Ave.
Princeton ZN 47670
Place of burial I.O.O.F.
or removal:
Date of burial:
Funeral home:
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S E A L
Francisco IN 47649
11/19/2003
CO1v1R FllR0id1 HOmO, IRC.
425 N. Main St.
Princeton ZN a7670
Signed by ""'"_ G����"___"��
Gibson County Health Commissioner
Princeton, Indiana 11/19/03
Address Date
Recorded locally in Book No. 14 Page No. 76 Filed: 11/19/2003
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