Death Certificate - Miller, Hermena F_1/11/2002--- -= - -- -- -- - - -� - _ - ----- -- --- - - -- - - - - -- -
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GIBSON COUNTY DEPARTMENT OF HEALTH
� _:,�-°� �.;� 800 S. Prince St.
� Princeton,-Indiana�47670
812-385-3831-
- T , . '"
RECORD OF DEATH
THZS IS TO CERTIFY
that according to the recorda of the Dibson County_Department of Health,
HBRMENA F. MILLER
Died oa 12/11/2001 at 12:45AM
owensville Convalescent Center
Hwy 165
Owensville IN 47665
Age at death . 93 Years
Marital Status: Widow
Sex: F
Color: White
Cause of death: Stroke, ASCVD, HTN, Hypothyroidism
Signed by: Edward White, D.O.
410 North Main St.
Princeton IN
Place of burial Townsley Cemetery
or removal:
Mackey IN 47654
Date of burial: 12/13/2001
Funeral home:
S E A L
Lamb-Basham Memorial Chapel
226 E. Washington
Oakland City IN 47660
Signed by ��%"'"" G �/`���
Gibson County Health Commissioner
Recorded locally in Book No. 14
Princeton, Indiana 12/18/O1
Address Date
Page No. 27 Filed: 12/17/2001
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