Death Certificate - Powers, Janita Sue_9/27/2002�
GIBS�COUNTY DEPARTMENT �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 Gibson County Department of 8ealth,
JANITA SIIE POWERS
Died oa O8/08/2002 at 3:OOpm
xesidence
RR # 1, Box 231
Owensville IN 47665
Age at death . 58 Years Sex: F
Marital Status: hfarried Color: Wriite
Cause of death: Lung Cancer
Signed by: Chester Burkett, M.D�.
� P.O. BOx 550
POSeyville IN 47633
Place of burial Maumee Cemetery
or removal: RR # 1
Owensville IN 47665
Date of burial: OB/12/2002
Fuaeral home: Holders Funeral Home of
Gibson County, Inc.
P.O. Box 518
Owensville IN 47665
S E A L
Signed by
�f� G� ���+j/f �/
Gibson County Health Co�nmissioner
Princeton, Indiana O8/09%02
Address Date
Recorded locally in Book No. 14 Page No. 44 Filed: 08/09/2002
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