Death Certificate - Mason, Minor W_4/29/1993'
� � .� .
GIBSON COUNTY DEPARTMENT OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
R E C O RD O F D E A T H
SS I �g
�19- l� l 7GLS- Dd
THIS IS TO CERTIFY
that according to the records of the 6ibson County Department of Health,
MINOR W MASON
Died on OS/06/19d3 a't 10:40P
6ibson 6eneral Hospi'tal
1806 Sherman Drive
Princ=_ton IN 47670
Age at death .�2 Years Sex: M
Marital Status: Married Color: White
Cause of death: Cancer oP colon
Signed by: Hassan Kayes, M.D.
1Sla Sherman Urive
Princeton 1N 47670
Place.of burial Oak Hill
or removal:
Patoka IN 47666
Date of burial_ OS/05/1583
Funeral home: Cotvin Funeral Home
4`LS N. Main
Princeton IN 47670
S E A L
Signed by K/�r/ `L�%1�"�". .�i,e�
�Gioson County Health ommissioner
Oakland_City,_ Indi.ana __ ua/29/93
Address Date
h=_coraed locally in Book fio. Faae No. 92 Filed: U5/19!1983