Death Certificate - Miley, Dora F_4/18/1988R�CORD OF DEATH '
� �
GIBSON COUA'TY DEPAR'I'[�iENT OF HEALTH
PRINCETON, INDIANA
' THIS IS TO CERTIFY, that our records show DORA F. MILEY died
! ,
� April 9, 198�t 8:30 A.M. Gibson General Hospital Princeton, In.
; month dey year hour of deeth sueet, hoapital, mral �
� AgeatDeattt-93 Sex Female Color �iteMaritalStatus �'lidowed �
years �vri[e whe[her married or single
f �
Primnry ceuse of death given wec_ Acute Pulmonary Edema, Right Congestive Heart Failure :
Arteriosclerotic Heart Disease, Uremia. �
i
� S;gnedby Howard N. Ropp, D.O. Oakland City, In.
� physician or coroner eddress
' Placeofburialorremoval Walnut Hill Petersbur4, In.
neme of cemetery eddress
' Uateofburial �Fr'-1 12, 1988 Lamb-Basham Mem_ Chapel Oakland City; In.
" Funeral Director � eddress
SEAL
Signed ""��'%�`�' '�BiR'�%
Gibson County Heelth Co ssioner
Oakland City, In. April 13, 1988
eddress da[e
Recorded locally in book No 11 pege �,ra 61 Filed: Aoril 13 , 1988
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