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Death Certificate - Elliott, Martha R_10/30/19920 • � GIBSO�i COUt�iTl" Di=.Pr\I�T["[r,�"1' O:P YI)1) 5. P?'1Rt,r: 5L. ,1r111Cg�ptlr lfllil3[ld �fiOiU 8i2-�3�-3n:31 1�ECORD OF DEATH o�g - �ia �f H�A.L"S H Q�,o�� ! THIS ZS TO CERTIrY ithat according to the records oi the Gibson County Departmeat of Heaitn, I MAi2T1-L\ R. ELLIO'I'T � , Died on 09/29/i992 a'r. o:00am � Gibson General Hospitai j 2808 Snerman Drive � � Prir.cecon Iti 4'070 I � Age at death . 77 Y'ears Ses: � I i Maritai Scatus: `?arried Color: Nh:ie � i ; i Cause of deatu: ?neumun�a (2-3 Weeks), Con�estive 3eart Fai?ure (�ears). j 3ena1 railure, Diaeeceis ?le:litus (years), � Statuspost Cereorovascuiar .accidenr (years), ! Anemia Signed by: �ainesni�iiai P. Pate:, `!D ! OS V . 2nd .ave . ?�inceton i� 47670 Place of burial Co!umoia White Churc:i �emecery or removal: P*inceron iV 476�0 Date of burial: 10/O1/199"' Funeral home: Coivin E�11'ECd! rome, i.^.c. 4?J �. :`!d1!1 5t. ?rinr.erun i� 4�0�0 : �� -; � G/� ;�`�-� /i '.'��.�f e +�'a:! . j i arlt'�:i U\" �; !/' ., f, . .—tr'_�J5ou �.n�In�'. :iNP.:�.!1<'<um[ni55LCt!d1.--- � t .i L (illh:.��lt �.��'� �I�:::.�1�.1� �II�:��:�' 1 _ � . ' . .. .. . .. . . . ...�l.. . . � .`lil�.�i"-��. JNf. �:...:.()�I:l'<� �ll:..:: l lil .'...�'I` �.'.`. ._ : :'..... '.. . " ' . ' . . . . . � _ 1 •