Death Certificate - Duncan, Doris Mae_10/28/2005G�ON COUNTY DEPARTMEN�F HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibaon County Departmeat of Health,
DORIS MAB DIINCAN
Died on 02/08/2005 at B:OOPM
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 92 Years
Marital Status: Widowed
Sex: F
Color: White
Cause of death: Acute Cardiac Arrest, minutes. CHF, years.
Atrial Fibrillation, year.
Pacemaker (placement, Depression.
Manner of death: Natural
Signed by: Terry Gehlhausen, DO
xwy 64 west
Oakland City IN 47660
Place of burial Montgomery Cemetery
or removal:
Oakland City IN 47660
Date of burial: 02/12/2005
Funeral home: -COrn-COlvin Funeral Home, Znc.
;"
323 N.- Main Street
�� Oakland City IN 47660
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OCT 2 S 2005
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GIBSON COUNTY AU9ITOR
- �- � Signed by � G ������
- Gibson County Health Commissioner
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S E A L ____ - _
Princeton, Indiana 11/03/OS
Address Date
Recorded locally in Book No. 02/200 Page No
-a. ;,
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Filed: 02/17/2005