Death Certificate - Mayhall, Ervin D_4/15/2004COUNTY DEPARTMENT �' HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
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THIS ZS TO CERTIFY
that according to the records of the Gibsoa County Departmeat of Health,
ERVIN D MAYHALL
Died oa OB/17/1989 at 9:lOpm
Gibson General Hospital
1808 Sherman Drive
Princeton ZN 47670
Age at death . 71 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Gastric Hemorrhage, Gastric Carcinoma
Signed by: Bruce Brink Sr. D.O.
410 N. Main
Princeton IN 47670
Place of burial Friendsville Cemetery
or removal:
Friendsville ZL
Date of burial: OB/20/1989
Fuaeral home: Kendall Fvneral Home
S E A L
520 S. Main
Princeton IN 47670
01.9685
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S igned by � G' �����l
Gibson County Health ComRiissioner
Recorded locally in Book No
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Princeton, Indiana 03/29/04
Address Date
Page No. 96 Filed: 08/21/.1989
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