Death Certificate - Davis, Marvin Oral_3/3/1998GIBSON COUNTY DEPARTMENT OF HEALTH
800 S. Prince St. •
.�rinceton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
MARVIN ORAL DAVIS
Died on 11/27/1997 at 5:25pm
Good Samaritan Nursing Home
210 Gibson
Oakland City IN 47660
Age at death .
Marital Status:
68 Years
Married
Sex: M
Color: White
Cause of death: Cardio Respiratory Failure,
Uncontrolled Diabetes Mellitus, Atrial Fibrillation,
Peripheral Valwlar Disease
Signed by: Narayana Ghanta, M.D.
802 E. Oak St.
Ft. Branch IN 47648
Place of burial Martin Cemetery
or removal:
Glezen ZN
Date of burial
Funeral home:
S E A L
12/Ol/1997
Corn-Colvin Funeral Home, Inc.
323 N. Main Street
Oakland City IN 47660.
. . �- %'-' °'i � -
; ��i� K.i:"4:i.-, uiG'�.�;-Y.y
Signed by '�' ` ` /f
Gibson County He` th Commissioner
Oakland City Indiana 12/OS/97
Address Date
Recorded locally.in Book No. 13 Page No. 51
Filed: 12/OS/1997