Death Certificate - Fougnies, Mary E_12/14/1983RECORD OF DEA1'H �
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GIBSON COUN'I'Y DEPARTMENT OF HEALTH
PRINCETON, I.�IDIANA
THIS IS TO CERTIF'Y, that our records show MARY E. FOUGNIES died
12/11/83 at 6:35AM Gib. Gen. Hosp. Princeton, Ind.
mont6 day year honr of death �treet, hospital, rural
Age at Death 73 Sex Female Color �ahite nqarital Status Widowed
years write whether married or single
Primary cause of death given was Cardiac arrythmia
Signed by Ari,n ('_ x„mar nn n p�j,��y�p���_
physicisn or coroner address
Place of burial or removal Fairvi ew T i ntp�,�r�,
name of cemeten• address
Date of burial 12/13/83 Colvin princ.etnn� rn�1 _
Fi�neral Director address
SEAL
�/(/ ��".—' ! V`. � e �1,G/
Signed
Gibson County Health Commissioner
OakIand City, Ind. 12/14/83
address date
Recorded locally in book No. 1 � Page No. 10 5 F51ed : 12 / 14 / 8 3