Death Certificate - Gooch, Mildred M_7/8/1998GIBSON C�iNTY DEPARTMENT ��' HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
�PR 1 � 1998
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
MILDRED M GOOCH
Died on 11/Ol/1983 at 12:OOp
Gibson General Hospital
1808 Sherman Drive
Princeton ZN 47670
Age at death . 88 Years
Marital Status: Married
Sex: F
Color: Black
Cause of death: Cerebral Anoxia, Cardio-respiratory arrest,
Aortic aneurysm, cardio vascular collapse
Signed by: Bruce C. Brink, Jr
410 N. Main
Princeton IN 47670
Place of burial Sand Hill
or removal:
Date of burial:
Funeral home:
S E A L
Princeton IN 47670
11/OS/1983
Colvin Funeral Home
425 N. Main
Princeton IN 47670
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FT� ���
JUL 8 1998
GIE_DN OL4 TY AUDITOR
Signed by '!U��1 ��"��
Gibson County He�lth Commissioner
Oakland Citv, Indiana 04/16/98
Address Date
Recorded locally in Book No. 1G Page No. 104 Filed: 11/18/1983