Death Certificate - Meier, Matilda Mary_10/14/2004�� '� m�°���°� I 017 5 7 8
GIB�v COUNTY DEPARTMENT� HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH �� S^�D�
p� 1- � I 84�
THIS IS TO CERTIFY
that according to the records of the Gibaoa County Department of Health,
MATILDA MARY M$IBR
Died on OS/02/1964 at 10:40am
Mackey ZN
Age at death . 85 Years
Marital Status: widow
Sex: F
Color: White
Cause of death: Coronary Thrombosis,
Coronary Generalized Arteriosclerosis (year)
SigII2d by: Henry A PEt2tS, DO
Hwy 64 West
Oakland City IN 47660
Place of burial Albright Cemetery
or removal:
Mackey IN 47654
Date of burial: OS/05/1964
Funeral home:
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' S E A L
Corn Mortuary, Inc.
323 N. Main Box 278
" Oakland City IN 47660
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Signed by
� Gibson County Health Commissioner
Recorded locally in Book No. 50
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Princeton, Zndiana SO/14/04
Address Date
Page No. 47 Filed: OS/OS/1964