Death Certificate - Davis, Patricia Gail_10/24/2005�ON COUNTY DEPARTMEN�F HEALTH
800 S. Prince St.
Princeton, Zndiana 47670
812-385-3831
RECORD OF DEATH
THZS ZS TO CERTIFY
that accordiag to the records of the Oibaon County Depaztment of Health,
PATRICIA GAIL DAVIS
Died oa 12/il/2003 at 4:SOPM
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 63 Years Sex: F
Marital Status: Married Color: White
Cause of death: Acute Myocardial Infarction
Manaer of death: Natural
Signed by: Chester Burkett, M.D.
P.O. Box 550
Poseyville IN 47633
Place of burial Maumee Cemetery
or removal:
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Date of burial: 12/15/2003
Fuaeral home: Holders FYUieral Home of
Gibson County, Inc.
P.O. Box 518
OwenSVille IN 47665
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Signed by
Gibson County Health Commissioner
S E A L
Princeton, Zndiana 12/18/03
Address Date
Recorded locally in Book No. 14 Page No. 79 Filed: 12/15/2003