Death Certificate - Boerke, Eileen M_6/2/2003GIBS� COUNTY DEPARTMENT O�EALTH
S00 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CBRTIFY
that according to the recorda of the Gibaon County Department of Health,
SILBSN M. BOSRRB
Died on 02/21/2003 at 12:SOpm
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 99 Years
Marital 3tatus: Widowed
Sex: F
Color: White
Cause of death: Acute Myocardial Infarction, ASHD,
Chronic CHF
Signed by: Arun C. Kumar, NID
105 N. 2nd Ave.
Princeton IN 47670
Place of burial Oak Hill Cemetery
or removal:
Patoka IN 47666
Date of burial: 02/24/2003
Funera7,� home: ��COlvin FYuieral Home, Inc.
' � 425 N. Main St.
_ ;� Princeton IN 47670
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Signed by
Gibson County Health Commissioner
Princeton, Indiana 06/02/03
Address Date
Recorded locally in Book No. 14 Page No. 58 Filed: 02/26/2003