Death Certificate - Collins, Maryland L_12/12/2003GIBSO�OUNTY DEPARTMEIVT O• ALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CSRTIPY
that accordiag to the recorda of the 6ibaon County Department of Health,
MARYLAND L COLLINS
Died on 01/il/1982 at 2:lOp
home
xR # a xensington Drive
Princeton IN 47670
Age at death . 72 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Chronic organic brain syndrome with cerebral
arteriosclerosis and far advanced Parkinsonism
Signed by: Frank J. Brackel, Jr. M.D.
Evansville ZN 47711
Place of burial White Church
or removal:
PrinCetOR ZN 47670
Date of burial: O1/14/1982
Funeral home: Kendall FLneral Home
S E A L
520 S. Mdin
Princeton IN 47670
Signed by "'°" G ��/ "
Gibson County Health Commissioner
Princeton, Indiana 12/12/03
Address Date
Recorded locally in Book No. Page No. 57 Filed: O1/15/1982
i