Death Certificate - Davis, Patricia Gail_6/4/2009GIB�ON COUNTY DEPARTMENT�F HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS ZS TO C6RTIFY
that according to the records of the Gibeon County Department of Health,
PATRICIA GAZL DAVIS
Died oa 12/11/2003 at 4:SOPM
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 63 Years
Marital Status: Married
8ex: F
Color: White
Cauae of death: Acute Myocardial Infarction.
Maaner of death: Natural
Signed by: Chester Burkett, M.D.
P.O. BOx 550
Poseyville IN 47633
Place of burial Maumee Cemetery
or removal:
Johnson ZN
Date of burial: 12/15/2003
Funeral home:
S E A L
xolders FYuieral Home of
Gibsor. Cc.uity, Znc.
P.O. Box 518
Owensville IN 47665
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Signed by ,�
Gibson County xealth Commissioner
Princeton, Indidna 12/15/03
Address Date
Recorded locally in Book No. 14 Page No. 79 Filed: 12/15/2003
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