Death Certificate - Dyson, Eunice I_12/21/2001t
` �, GIBSO�COUNTY DEPARTIVIE� OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-395-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
EIINICE I, DYSON
Died on Ol/07/2001 at 6:lOPM
Holiday Manor Nursing Home
305 North 6th Ave
Princeton IN
Age at death . 90 Years
Marital Status: Married
Cause of death:
Signed by:
Sex: F
Color: White
Severe Mylodyplastic Syndrome
Paul V. Banning, M.D.
Welborn Clinic
Princeton IN 47670
Place of burial Shiloh Cemetery
or removal:
Date of burial:
Funeral home:
S E A L
Hazleton IN 47640
O1/10/2001
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by "�' G' �+`�/� �/
Gi son County Hea th Commissioner
Princeton Indiana O1/16/O1
A dress Date
Recorded locally in Book No. 14 Page No. 1 Filed: O1/16/2001