Death Certificate - Mason, Doris Lucelle_9/25/2012G I B S O N C O U N T Y D E PARTME N T O F HE A L TH
800 8. Prince St.
Princeton, Indiana 47670
812-385-3831
R E C O RD O F D E ATH
THI3 IS 1'0 (,'SRTIPY
that according to the records of the Gibsan Coimty Departxent of Health;
DORIS LUCILLB !lA30N
Died on 04/09/1992 at 7:40 P.lt.
Wirth Osteopahtic Aospital
Hi Nay 64 Mest
Oakland City IN 47660
Age at death .: 64 Years Sea: F
�laritsl Statns: Merried Color: irhite
Cause of death: Metastatic Ca.L Breast, 10 years
Si�ed by: Henry A Peters, DO
Awy 64 West
Oakland City IN 47660
Place of burial Montgomery Cemetery
or removal:
Oakland City IN 47660
Date of burial: 04/13/1992
Fimeral home: Com Mortuary, Inc.
323 N. Main Box 278
Oakland City IN 47660
Signed by ��'��'�'• ���
Gibson County Health mmissioner
S E A L
Oakland City, Indiana 04/15/92
Address Date
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