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Death Certificate - Mayfield, Louis Alvin_7/10/1997GIBSON CO�NTY DEPARTMENT OF HEALTH 800 5. Prince St. Princeton, Indiana 47670 812-385-3831 RECORD OF DEATH THZS IS TO CERTIFY that according to the records of the Gibson County Department of Health, LOIIIS ALVIN MAYFIELD Died on 06/23/1997 at 5:45pm Residence 401 W. Brummitt Owensville IN 47665 Age at death . 75 Years Marital Status: Married Sex: M Color: White Cause of death: Small Cell Carcinoma of Lung Metastatic to Brain (1 year), Atherosclerotic Heart Disease, Type ZZ Diabetes Millitus Signed by: Jeffrey Chandler, M.D 421 Chestnut Evansville IN 47711 Place of burial Owensville Cemetery or removal: Owensville IN 47665 Date of burial: Funeral home: S E A L 06/26/1997 Holders Funeral Home of Gibson County, Znc. P.O. Box 518 Owensville IN 47665 ����� JUL 10 1997 ��:� Signed by Vv"�/ ���'• �i�'�`� Gibson County Health ommissioner Oakland City, Indiana 07/03/97 Address Date Recorded locally in Book No. 13 Page No. 41 Filed: 07/02/1997 ' : �. ���%�m� - . � � oa , �ys� �� - � (�"p � : �S �� L�"��-� C A P T Z 0 N of ABSTIiACT OF TITLE • to real estate situated in the town of C�wer.sville, Gibson �ounty, . Indiana, ard described as follows: . Lot number 22 in Warrick's Second Addition to the town of Owensville, except 60 feet on the west side tnereof. • .:. � .`. _. ' p: � . .r rG Prepared for: :MAAY A. AIL�Y. , •pEPARED CY VIRGINIA MILLER� �AB6TMCTER PRINCETON. INDIANA