Death Certificate - Pierce, Mae H_8/10/1993� � �
G=BSON COUN S"Y DEPARTMENT OF HEALTH
800 S. Yrince St.
Princeton, Indiana 47670
812-385-3831
't
RECORD OF ]7EATH
TAIS-IS T'0 CERTIFY ,
that according to the records of the Gibson County Department of Health,
MAE !1. P_TERCE
Died on 11/18/1992 at 5:24A?f
. Gibson Genera] Hospital
_ , 1808 Slierma❑ Df•i��e
� Princeton IN 47670
Age at death . 83 Years Sex: F
Marital Status: Married Color: White
Cause of death: Acute Myocardiai Infarction
Signed by: Yong Cho, `iD
1808 Sherman Drive
Princeton IN 47670
Place of burial Columbia White Church Cemetery
or removal:
Princeton iN 47670
Date of burial: 11/20/1992
Funeral home: Colvin Funeral Home, lnc.
425 N. Main St.
Princeton 1N 47670
S E A L
,i2% !�'�c'n7 � � ��
Signed by ________ ___
Gibson County Health ommissioner
_Oakland Citv, Indiana 11/23/92
Address llate
Recorded locally in Book No. 12 Page No. 51 Filed: 11/23/1992