Death Certificate - Poe, Fava H_10/31/1989RECORD OF DEATH � �
GIBSON COU\TY DEPART\fE\T OF HEALTH
PHWCE'CON. INUTANA
THIS IS TO GERTIEY, that our records show FAVA H. POE died
MaTCh 2,�1983 a� 1•00 A Pf ribcnn ranPral Nns�ital Prinrar:.�� Tn
month day year hour o( deeth street, hospital, rurel
Age at Death 71 Sex Female Color idhite b4arital Status rtarr; PA
years write w�hether married or single
Primary cause of death.given was Acute Ptyocardial Infarcti on sudden.
Signedby ['illiam R[2ells M L rr;nrPr�n r�.
physician or coroner address
Place of burial or removal Oak Hi11 Parnka 7n.
� name of cemetery� eddress
Date of bur't`��rch 4, 1983 Colvin Funeral Home Princeton, In.
Funefal Direc[or eddress
SEAL
Recorded locally in book \0 10 Pa;e No 86
Signed �'il ��? � �f"./�S'�%
Gibson County Heal[h Co ssioner
Oakland Citv In. October 31. 1989
address date
Pfarch 8, 1983
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