Death Certificate - Miller, Evelyn Mae_7/16/1996.
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GIBSON'COUNTY DEPARTME�' OF ��,TH
7I6p � 800 S.� Prince St
l� Princeton, Indiana 47670 �
812-385-3831 '
RECORD OF DEATH
THIS'IS TO CERTIFY �
that.accordiag to the recorcis of the Gibaon CounEy Department of.Health,
EVELYN MAE MILL
�
ER i.
Died.on 10/07%2000 at 6c10 PM
Gibson.General HospiEal
1808 Sherman.Drive
Princeton IN 476
a
70
Age, at death . 79 lCears Sex: F
Marital Status: Divorced
. Color: White
Cause'of death:: Cardiac.Dysrhythmia; 24 Hours. Left.Ventricular Failure
Months.. Coronary Atherosclerosis; years.
Diabetes Mellitus, Years. Hemorrha e �e 2
5 C�stitis, Anemia.
Signed by: Krishna;Murthy,bID .
105 N.2nd�
' Princeton.IN.47670
Place of burial Montgomery Cemetery,-
or removal:
Oakland City IN 47660
Date of burial: 10/10/2000
Funeral home: Corn-Colvin Funeral Home, Inc.
323 N. Main Street
Oakland.City IN 47660
S E A L
Signed b}• ;�c�,CC� G.
�. �' '' ��unLy ttealth C/���
ssioner
Princeton Indiana 10 il 00
Address • Date
Recorded locally in Book No. 13
Page No. 128
:
Filed:�10/1