Death Certificate - Keller, Mary E_12/18/1985RECORD OF DEATFI � • � ,� GIBSON COUNTY DEPARTMENT OF HEALTH PRINCETON, IA�DIAIhA 'I'IiIS IS TO CERTIFY, that our records �G : d71 �171:7 3 / 10 / 83 at 12:30 P.M. R.R.'�,1 Coalmine Rd. F`t. Branch, In. month dey year hour of death street, hospital, runl Age at Death 81 Sex Fe�n�le Color �'ml� Marital Status ��1� years write whether married or eingle Primary cause of death e cen was �dio pulm�nary failure, Acute myocardial infarction Bruce C. Brink,D.O. Princeton, In. Signed by phpsician or coroner address Place of burial or removal St. Thomas Knox Co. Indiana name of cemetery address Date of burial 3/14/83 Stod4hi11 Ft. Branch, In. Fh�neral Director address SEAL Signed�� �1G'• "�`ae��?�:' Gibson Connty Health C 'oner Oakland City, In. 12/18/85 addzess date Recorded ]ocally in book No. 10 Page No. 87 F;1�; 3/16/83