Death Certificate - Berry, Flossie Anna_6/12/2001I!��--_
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GIBSON COUN DEPARTMENT OF�n"EALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
FLOSSIE ANNA HERRY
Died on 11/15/1995 at 11:30AM
Residence.
512 North Ford Street
Princeton IN 47670
Age at death . 94 Years
Marital Status: Widow
Sex: F
Color: Black
Cause of death: Congestive Heart Failure, (several days),
Renal Failure, (several days),
Arteriosclerotic Heart Disease (many years),
D.M. Insulin Dependent
Signed by:
Place of burial
or removal:
Date of burial:
Funeral home:
S E A L
William R. Wells, MD
510 N.Main St.
Princeton IN 47670
Sand Hill Cemetery
Princeton, IN 47670
11/18/1995
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by - "" G �`t���
Gi son County Hea th Commissioner
Recorded locally in Book No
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Princeton, Indiana 04/30/O1
A ress •Date
12 Page No. 129 Filed: 11/21/1995
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