Death Certificate - Dawson, Mildred Jean_6/24/1999GIBSON CO�NTY DEPARTMENT.� HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
T?iIS IS TO CERTIFY
that according to the records of the Gibson County Department of Healt'�,
MILDRED JEAN DAWSON
Died on 04/19/1999 at 10:25PM
fioliday Manor
6th Avenue
Princeton IN
Age at death . 77 Years
Marital Status: Widowed
Cause of death:
Signed by:
Sex: F
Color: White
Adenocarcinmoa Left Breast, 16 Months
COPD
William R. Wells, IVID
510 N.Main St.
Princeton IN 47670
Place of burial Blythe Chapel Cemetery
or removal:
Owensville IN 47665
Date.of burial:
rL^e-a1 home:
S E A L
04/24/1999
Alexander West Chaoel
2100 W. Illinois St.
Evaasville IN ?7712
a
Signed by "" "' � ��- " �����
Gibson County Hea h Commissio_^_er
Oaklar_d Citv, Zndiara 04/20/99
Address Date
Recorded locally in Book No. 13 Page No. 90 Filed: 04/20/1999