Death Certificate - Green, Beatrice D_4/19/1993���r� D� � - C� �003 -�o
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GIBSON COUNTY DEPARTMENT OF HEALTH
800 S. Yrince St.
Princeton, Indiana 47670
R12-38j-3831
R E C O RD O F D E A T H
THIS IS TO CEFYfSPy
that according to the records of the Gibson County Depaz-tment of Health,
BEATRICE D. GREEN
Died on 04/10/1993 at 1:OOpm
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death : 88 Years
Marital Status: Married
Sex: F
Colar: White
Cause of death: Cardio Respiratory Arrest (immediate)
End Stage Renal Disease,
Chronic Pylonephritis
Signed by: Bruce C. Brinl;, Sr., Dp
410 N. Main
Princeton IN 47670
Place of burial Maple Hill
or removal:
Princeton IN 47670
Date of burial: 04/13/1993
Funeral home:
S E A L
Colvin Funeral Home, Inc.
425 U. Main St.
Princeton IN 47670
Signed by �"r! `��•`�'•�
Gibson County Health ommissioner
Oakland Citv, Indiana 04/13/93
Address Date
kecorded locally,in Book No. 12 Page No. 02 Fi1ed: 04/13/1993