Death Certificate - Dyson, Eunice I_1/4/2002"�'"' ��° "��<' GIBS(� COUNTY DEPARTME�T OF HEALTH
�; ' - 800 S. Prince St.
� �� ,7 . Princeton, Indiana 47670
y , 812-385-3831
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� � . ' . RECORD OF DEATH
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;THIS IS TO CERTIFY
•--that accordiag to the records of the Gibsoa Couaty Department of Health,
,i EIINICE I, DYSON
Died on O1/07/2001 at 6:lOPM
Holiday Manor Nursing Home
305 North 6th Ave
Princeton IN
Age at death .
Marital Status:
Cause of death:
Signed by:
Place of burial
or re�oval:
Date of burial:
Funeral home:
S E A L
90 Years
Married
Sex: F
Color: White
Severe Mylodyplastic Syndrome
Paul V. Banning, M.D.
Welborn Clinic
Princeton IN 47670
Shiloh Cemetery
Hazleton IN 47640
O1/10/2001
Colvin Funeral Aome, Inc.
425 N. Main St.
Princeton IN 47670
Signed by �G't��r ,// �/
Gibson County Health Commissioner
Princeton, Indiana O1/16/O1
A ess Date
Recorded locally in Book No. 14 Page No. 1 Filed: O1/16/2001
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