Death Certificate - Keith, Florence_8/16/1991G I B S O N C O U N T Y D E P AR T M E N T O F H E A L T H
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
R E C O RD O F D E A T H
THIS ZS TO CIIYfIFY
that according to the records of the Gibson County Department of Health,
FLORENCE A. KEITH
Died on 08/O1/1990 at 1:20 P.M.
Gibson General Hospital
1808 Sherman Dr.
Princeton IN 47670
Age at death: 61 Sex: F Color: White Marital Status: Married
Cause of death: Well Differentiated Adeno Carcinoma Bilat. Ovaries 2 years
Signed by: William R. Wells, MD
510 N.Main St.
Princeton IN 47670
Place of burial Decker Cemetery
or removal:
Patoka, IN 47666
Date of burial: OB/04/1990
F�neral home:
Colvin F�neral Home, Inc.
425 N. Main St.
Princeton IN 47670
` '_
S E A L
Signed by �/f/ �Y/ �T G'• °`����
Gibson County Health ommissioner
n
Recorded locally �ook No
Oakland Citv, Indiana OS/08/90
Address Date
11 Page No. 1� Filed: 08/O8/1990