Death Certificate - Fulling, Bertha Matilda_8/20/2008_ GIBSON COUNTY DEPARTMENT OF HEALTH
• 800 S: Prince St.
Princeton, Indiana 4767
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
BERTHA MATILDA FULLING
Died on 09/19/1998 at 7:45 AM
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 97 Years Sex: F
Marital Status: Never Married Color: White
Cause of death: Gastrointestinal Hemorrhage 2 to Ulcer
Peptic Ulcer Disease
Cerebrovascular Accident
Signed by: Lance Payton, M.D.
410 North Main SL
Princeton IN
Place of burial St. John's Cemetery
or removal:
Date of burial:
Funeral home
S E A L
Buckskin IN 47647
09/22/1998
Corn-Colvin Funeral Home, Inc.
323 N. Main Street
Oakland City IN 47660
Signed by �(f��7����'.�
Gibson County Healt Commissioner
Oakland City, Indiana 10/02/98
Address Date
8
Recorded locally in Book No. 13 Page No. 73 Filed: 10/02/1998