Death Certificate - Moore, Velma_7/17/1989,i
RECORD OF DEATH S
�
GIBSON COliNTI' DEPARTI4E\T OF HEALTH
PRI�CETO\'. I�DIA\A
'I'HIS IS TO CERTIFY, that our records show Velma Moore
x
June 25, 1978 at 6:30 P.M. R.R. �r 3 Princeton, In. -
month day yeer hour o( death sveet, hospital, niral
Age at Death 64 Sex Female Color �lteliarital Status Married
��ears w-ri[e whether married or single
Cerebral hemorrhage, massive ( sudden)
Primary cause of death given was
Arterio hypertensive vascular disease ( 12 years)
R. S
Signed by
Place of burial or re
Date of buria�
SEAL
McElroy, M.U. Princeton, In.
phcsician or coroner
o`,a� Fairview Princeton, In.
name of cemeten�
June 27, 1978 Colvin Funeral Home, Inc
Funerel Director
address
address
Princeton, In.
SlgnOd �✓ v�'�% G. �Q �!'�1.�%
Gibson Counro Health Co issioner
Oakland City, In. Suly 17, 1989
address date
Recorded locally in book No. H-SZ Page No. 44 Filed: June 30, 1978