Death Certificate - Davis, Phavilla E_12/30/1997GIBSON CCENTY DEPARTMENT �' HEALTH
800 S. Prince St.
Princeton, Indiana 47670 �
812-385-3831 �
RECORD OF DEATH
I� �
�
THZS IS ,TO CERTIFY ��
that according to the records of the Gibson County Department of Health,
; � PHAVILLA E. DAVIS
Died on 08/23/1997 at 9:45am
.� - Gibson General Hospital
� " � 1808 Sherman Drive
Princeton IN 47670
Age at death' . 83 Years
Marital Status: Married
" Cause of death:
'�Y
Signed by:
Sex: F
Color: White
Cerebro Vascular Accident (4 days)
Metastatic Lung Cancer .
Arun C. Kumar, MD
105 N. 2nd Ave.
Princeton IN 47670
Place of burial Columbia White Church Cemetery
or removal:
Princeton IN 47670
Date of burial: OS/25/1997
Funeral home: Colvin Funeral Home, Inc.
S E A L -
425 N. Main St.
Princeton IN 47670
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Signed by �v -• / �� `�� /�
Gibson County He th Commissioner
Oakland City Indiana 08/27/97
Address Date
Recorded locally in Book No. 13 Page No. 45 Filed: OS/27/1997