Death Certificate - Ott, Melva M_7/5/2001GIBSON C�LINTY DEPARTMENT�F HEALTH �
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibaon County Department of Health,
'�yi�l/��f•�SitiF�
Died on 03/11/1998 at 10:54 PM
Gibson General Hospital
1808 Sherman Drive
Princeton ZN 47670
Age at death . 62 Years Sex: F
Marital 6tntue� Married Color� White
Cause of death: Cardiac Arreat, Minutes.
Atherosclerotic Heart Disease, years
Diabetes, Hypertension
Signed by: Rameshbhai P. Pe.tel, MD
105 N. 2nd Ave.
Princeton IN 47670
Place of burial I.O.O.F.
or removal:
Francisco IN 47649
Date of burial: 03/14/1998
Funeral home: Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
S E A L
Signed by �"I",�'�'n1v'• °�C�A�
Gibson County Heal Commissioner
Oakland City, Indiana 03/20/98
Address Date
Recorded locally in Book No. 13 Page No. 61 Filed: 03/20/1998