Death Certificate - Martin, Margie A_4/29/2010�/ �
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GIBS�i COUNTY DEPARTMENT OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO C6RTIFY
that accordiag to the recorda of the 6ibaon County Department of Health,
MARGIB A. MARTIN
Died on 12/30/2001 at 8:30AM
xesidence
309 E. Ulen St.
Ft. Hranch ZN
Age at death . 56 Years Sex: F
Marital Status: Married Color: White
Cause of death: Metastatic Ovary Cancer, 7 years.
Signed by: Edward Fox, M.D.
801 St. Mary's Drive
Evansville IN 47714
Place of burial Holy Cross
or removal:
Ft. Branch IN 47648
Date of burial: O1/03/2002
Funeral home: Stodghill Fluieral Home, INC
304 W. Locust Street
Ft. Branch IN 47648
S E A L
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APR 2
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Signed by �`°""'-" G- /���1+/��
Gibson County Health Commissioner
Princeton, Indiana OS/17/02
Address Date
Recorded locally in Book No. 14 Page No. 28 Filed: O1/03/2002