Death Certificate - Myrick, Carmen B_8/2/1983RECORD OF DEATH �
�
GIBSON COUATTY DEPARTMENT OF HEALTH
PR7NCETON,INDIANA '
TffiS IS TO CERTIFY, that our records show CARMEN B. MYRICK
7/21/80 at 8:28PM Gib. Gen. Hosp. Princetnn, Ind.
month day � year hour of death street, hospiTal, rural
74
Age at Death Sex Fe � Color Wh' Marital
years
Married
write whether married oz single
Primary cause of death given was Acute myocardial infarction
Signed by� B• C. Brink, D.O
physician or coroner
address
Place of burial or removal Oak Hill Patoka, Ind.
name of cemeterp address
Date of burial ��24/80 Colvin Princeton Ind. _
Fwneral Director address
SEAL
vU ��twr'r7 � � � k,,?J
�
Gibson County Health Commissioner
Oakland City, Ind. 2/7/83
addreas date
10 17 7/24/80
Recorded locally in book No. Page No. �led: