Death Certificate - Capehart, Janet Susan_1/4/2007GIBS� COUNTY DEPARTMENT � HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OFDEATH
THIS IS TO CERTZFY
that accordiag to the records of the Gibsoa Couaty Department of Health,
JANET SIISAN CAPEHART
Died on 12/31/1998 at 10:35AM
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 41 Years
Marital Status: Married
Sex: F
Color: White
Cause of death: Myocardial Infarction
Obesity
Maaner of death: Natural
Signed by: Robert S. Stodghill, Coroner of Gib. Co.
304 W. Locust
Ft. Branch IN 47648
Place of burial Columbia white Church Cemetery
or removal:
Princeton IN 47670
Date of burial: O1/03/1999
Funeral home: Colvin Funeral Home, Inc.
S E A L
425 N. Main St.
PTinCetOn IN 47670
Signed by '� G i��" -" .�' "v
/-
Gibson County Health Commissioner
Princeton, Indiana 12/27/06
Address Date
137004
e
Recorded locally in Book No. 13 Page No. 80 Filed: O1/11/1999
= '::' ivan-zo
" . l l�/os)
_ �.v,,...._�_.._ ...,.. . . .... . __ . .
._
��}�?VOID,IF*ALTEFIED ON EHASEUc NOTv11ALIDUNLESS CERTIFIED BY HEAL7H-0EPARTMENTt