Death Certificate - Pauley, Phavilla_9/23/1986RECORD OP DEATH � �
� GIBSON COU\r'i'Y" DEPAPT\I�NT OF HEr�LTH
PRItiCETOV, I\'DIANa
a
THIS IS TO CERTIFl, that our records show PHA4ILLA PAJLEY
Sept. 18, 1986 ,�t 6:20 P.ri. R.R.=;1 Hazleton, In.
montli da}- cear hour of death street, hospiial, rvral
:1ge ai Death �` Set Female Color jvhite �.Izrital Status ='iarried
cea�s �crite c:hecher married or single
Primarc cause of death oi�-en ���as Complication of Advanced Co10--rectal Cancer
Signed by �ver.
Place of burial or
Date of burial S'
SE_1L
Pl. Hippensteel, b1.D.
phcsician or coroner
�o�,z.�_Shiloh
name o: cemetery�
er 21, 1986 Co1-vin
Funeral Directnr
Vincennes,
address
Hazleton,
iddress
Princeton,
address
In.
In.
In.
- �1���,..Y,,.�� ,.��
Signed
� Gibson County Health Commissioner
Oakland Ci�v, In S�atember 23,1986
-�, address dnte
Recorded locally in bool: No. 11 Page No. z3 Filed: September 23, 1986
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