Death Certificate - Mowery, Max E_3/6/1986•
RECORD OR DEATH
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GIBSON COUNfiY DEPAP.Tn4ENT OF HEALTH
PRINCETON,INDIANA
THIS IS TO CERTIFz, thlt our records show NIAX E. MOidERY died
3/25/85 at 1Phi 116 East Clark St. Princeton, Ind. _
month day year hour of death street, hospital, rvral
Age at Death 7z Se` Male ��or White Tlarital Status Ffarrie
fears �srite whether married or eingle
Primary� cause of death gi��en
Coronary artery disease and ischemia
Signed b}• Richarsi D Hi c�kr[�d �('[�rt�nPr Pri nratnn T�ra
,. ph}-sician or cozoner address
Place of burial or remo�•al Columbia Church Princeton, Ind.
� name of cemetery address
Date of burial 3/28/85 Kendall F H P i n on rnd
F4�neral Director address
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Sign2a ���lQn'L���E, 3ffif _
Gibson County Health issioner
�' Oakland City, Ind. 4/11/85
/� - . address date
Recorded localfy in book No. page No. Filed