Death Certificate - Embree, Mark Allen_5/20/1998GIBSON C�NTY DEPARTMENT OF F�LTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
MARK ALLEN EMBREE
Died on 06/17/1996 at Unk.�M
Residence
2108 Taylor Ave.
Princeton IN
Age at death . 39 Years Sex: M
Marital Status: Married Color: White
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Cause of death: Transection of the Brain stem sudden
Loose contact gunshot wound to the mouth
Signed by: Richard D. Hickrod, Chief Deputy Coroner
425 N. Main
Princeton IN 47670
Place of burial Columbia White Church Cemetery
or removal:
Date of burial
Funeral home
S E A L
Princeton IN 47670
06/20/1996
Colvin Funeral Home, Znc.
425 N. Main St.
Princeton IN 47670
Signed by � ������'1
Gibson County Health ommissioner
Oakland City, Zndiana 06/27/96
Address Date
Recorded locally in Book No. 13 Page No. 14 Filed: 06/27/1996
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