Death Certificate - Clark, Mary E_4/23/1998GIBSON C0�1TY DEPARTMENT C�HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
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RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
MARY E. CLARK
Died on 04/11/1998 at 6:SOAM
Wirth Regional Hospital
Hwy 64 West
Oakland City IN 47660
Age at death . 47 Years
Marital Status: M
Sex: F
Color: White
Cause of death: Exsanguination, 10 minutes.
Spontaneous Rupture of Thoracic Aorta, 30 minutes.
Focal Severe Coronary Artery Atherosclerosis
Moderate Aortic Atherosclerosis
Signed by: Richard D. Hickrod, Deputy Coroner
425 N. Main
Princeton IN 47670
Place of burial Alexander Mem. Pk. Crematory
or removal:
Date of burial:
Funeral home:
S E A L
Evansville IN
04/15/1998
Corn-Colvin Funeral Home, Inc.
323 N. Main Street
Oakland City IN 47660
Signed by �������'��
Gibson County Health mmissioner
Oakland City, Indiana 04/16/98
Address Date
Recorded locally in Book No. 13 Page No. 63 Filed: 04/16/1998