Death Certificate - Mowry, Canova_7/30/1982Hr:COItD OF DEATH �
s
GIBSON COUNTY DEPARTMEjdT OF HEALTH
PAINCETON,INDIANA
TH15 1S TO CEBTIFY, that our recorda show CANOVA MOWRY ��
6/�/�2 ,.r 12i55AM Gib. Gen.Hosp. Princeton. Ind.
month daq yesr hour of death gtteet, hoepiW, rural
Age at Death 7S �� Fe• Color— Wtt arital Stefi,a M•
yean • t wrlte whether married az mngle
Primary cause of death given
Signed by Janes F. Peck, M.D
puy�ciau or coroner
Myocardial Infarction
Princeton, Ind.
addresa
Place of burial or removaL MaF]� P gll� �lncet�n, T*+� - '
name of cemetery addreae �.
Date of buria� 6/10/!i2 Colvin Flineral Hone Princeton, Ind.
Fi�neral DimWr � address
SEAL
Gt1 ��I� �°,�� � �.�
G'bson Coanty Health Commiseioner
,� Oakland City, Ind. 6/11/d2
ead:eae aate
Recorded lacally in book No. 1 � page No. 6!S Ftiled; 6/11 /!�?