Death Certificate - Mann, Laurie W_1/17/2000� �
GIBSON COUNTY DEPARTMENT OF HEALTH
800 S. 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,
LAURIE W. MANN
Died on 12/09/2000 at 2:50 AM
Residence
iaio Cot[otiwuo3 Lr .
Princeton IN
Age at death
Marital Status
Cause of death
Signed by
. 84 Years
Married
Sex: F
Color: White
Urosepsis, 1 week. Urinary Tract Infection, Unknown.
Severe Dementia, Dehydration, Hypernatremia.
Rameshbhai P. Patel, NID
105 N. 2nd Ave.
Princeton IN 47670
Place of burial Hannony
or removal:
Date of burial:
Funeral home:
S E A L
Georgetown MA
Colvin Funeral Home, Inc.
425 N. hlain St.
Princeton IN 47670
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Signed by i
Gibson County Health Commissioner
Princeton, Indiana 12/21/00
Address Date
Recorded locally in Book No. 13 Page No. 133 Filed: 12/21/2000