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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) �t: ;� � ' T --.. �j _��� ;� I�'i 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 ' c:asor c?/;:�«_��ro=: I i' - ..c.:� _ _i �;� 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 pp� - 6�3y2 b06- 013�f �( � . D1�3�lS �1Q- �0�3��00 � �G- 0��33��