Death Certificate - Burns, Myrl Louise_9/17/2003�����
StN 17 2003
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GIBSON COUNTY DEPARTMENT OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THI3 I3 TO CBRTIPY
that accordiag to the recorda of the Gibson County Department of Health,
MYRL LOIIISS BIIRNS
Died on 03/17/2002 at 4:10am
RR # 3, Box 82 .
Odkland City ZN 47660
Age at death . 80 Years
Mazital Status: Married
Cauae of death: CHF
Sex: F
Color: white
Signed by: James Nehring, M.D.
415 West Columbia
Evansville ZN 47710
Place of burial I.O.O.F.
or removal:
Francisco IN 47649
Date of burial: 03/20/2002
Funeral home: Corn-COlvin Ftuieral Home, Inc.
S E A L
323 N. Main Street
Oakland City IN 47660
Signed by d'�''�{-�. G. ��� ' ".�/
Gibson County Health Commissioner
Princeton, Indiana 03/20/02
Address Date
Recorded locally in Book No. 14 Page No. 35 Filed: 03/20/2002