Death Certificate - Houglaud, Olive Maxine_9/21/1987RECOFtD OF DEATH � �'
� GIBSON COUNTl' DEPARTi\iF.NT OF HEALTH
PaiNCe�roN, �nninhn
THIS IS TO CERTIFY, that our records show OLIVE MAXINE HOUGHLAND
Aoril 5, 1987 at 6:15 A.M. Gibson General Hospital Princeton, In.
month day year hour of deeth street, hospital, rural �
Age at Death 74 Sex Female Color Whitengarital Status Married
years . wrife whe[her married or single
Primary cause of death gi��en was— Aspiration Pneumonia, Progressive Systemic
Sclerosis.
Signedb}• arun Kumar, M.D.
physician or coroner
Plece o( burial or removnl Maple Hill
nnme of cemetery
Date of burial �Pril 7, 1987
Funeral Uirector
SEAL
Princeton, In.
eddress
Princeton, In.
address
Colvin Funeral Home Princeton,Zn.
address
Signed "'f ����'1 ��P.��'�
Gibson County Heallh Com _ioner
Oakland City, In. Sept. 15, 1987
address , date
Recorded locally in book �o. 11 Page No. 36 Filed: April 8, 1987
�:,.��� �,•,{ + . .,
. ]PJ?j \;il� :'. T- ;[i.�l.
i)..f�.�J..i .. .. l[..: V:.. �: .. .. (.,.
� i!r�'. ;.�i.^.�.. ......
8
0
( i
• i �