Death Certificate - Moade, Doris C_1/21/2004GIBSON CO�NTY DEPARTMENT �F HEALTH
B00 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THSS IS TO CSRTIFY
that according to the records of the Gibson County Depar`ment of Health,
DORIS C. MOADE
Died on 09/Ol/200I at 1:45AM
Resideace
RR # ? Box 282
Princeton IN 47670
Age at death .
Marital Status:
67 Years
Ma°ried
Sex: F
Color: whit=
Cause o� death: Metastatic Colon Canc=r (16 months)
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Signed by: �ogzr Crouse, M.D.
5411 washington Ave.
Eva�!sville IN 47714
Place of burial Columbia Writ=_ Church Czmetery
or removal:
Princetor. IN �7670
Date of burial
Funeral home:
S E A L
09/OS/2001
Colvin runerai Home, �nc.
425 N. Main St.
Princeton IN a7670
JAiv � 1 2004
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Signed by �". :-:�! ,w:c�-:.•:'.,,,:i,
G�nson County riea_tn Commissioner
Priaceton, Indiana 09/1?/O1
A r°ss Date
Recorded locally in Book No. 1? ?age No. 20 Filed: 09/14/2001
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