Death Certificate - D'Ambrose, Bernice J_7/13/1978� a RECORD�OF DEATH I .. . , ' '-'tP:. �.,,},r .. , � ' . . f`. b:j�. . CIRSON COUNTY LEPART1�iGNT OF HEALTH PRINCETON, INDIANA t TffiS IS :�'O CERTIF'Y, thut our records show_BERNICE J. D'Ambrose a�� �3/72 At 8:25AM Gib. Gen.Hosp. Princeton, Ind. mont6 d¢y year hour of death etreet, hospitnl, rural Age at Diath 55 sex Fe. Color_ � Marital Statua Married Iyeare writc whethcr married or single Primary cuuse of death given wsu+ Hepatic Failure Signed by! Bruce Brink, DO Princeton, Ind. ' phyeicinn or coroner nddrese Place of b�rial or mmoval Columbia Church Princeton, Ind. - � nnmc of cemetery addresa Date of bu,rial $�5/7z Kendall Princeton) Ind. ��. �neral Director nddress • ' j � �'4" ! �C G . t°-''` � < �,?, SEAL Signed � Gibson County HcalLh Commiseioner OaklandCity, Ind. 7/12/�8 • addresa date Recorded l;ically in book No. 8 Page No- 55 Fi��;�8�%2 -------.-r-^-,-•^•—•----^�--�'-:-,�---•,••-� :�-,.->•.-s.R,-.—..r>a--r.-.�—•Y,..Z----Z--f-•r,,�---- : .. ! � � �� �� n�. �° �' �.,. p�-.��. � ; l � I ^�� � , n — 1 . ' } . : °���: � , � � ._,•, •i. '� . , �. . • :'; �. . � o�j C���-*�—