Death Certificate - Hicks, Mattie Vanbura_11/2/1978RECORD OF DEATH � .
GIBSOI`T COUNTY DEPARTDIENT OF HEALTH
PRINCETON, INDI�II�A
TffiS IS TO CERTIF'Y, that our records sliow MATTIE VANBURA HICKS
1/25/1964 at 8:55AM 813 E. Water Princeton, Ind.
month day yeaz hour of death stmet, hospital, rural
Age at Death 70 Sex Fe • Color �' niarital Status Married
years write whether married or single
Primary cause of death given was Metastatic carcinoma to liver
Signed by H. F.Carpentier. MD Princeton. Ind.
ph}sician or coroner address
Place of burial or
Date of
SEAL
Maple Hi11 Prir�c eton
name of cemetery address
27/64 Colvin & Son Princeton, Ind.
FWneral Director addrnss
e
� G�'( `".�n� G� � � �:�
s��
Gibson County Health � Com ssioner
OaklandCity, Ind.
address
7 9� i/3o/64
Recorded locally in book No. Page No. F'iled:
11/1/78
date