Death Certificate - Reavis, Madaline J_8/12/1992Y
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G I B S O N C O U N T Y D E P A R T M E N T O F H E A L T H
800 S. Prince St.
- Princeton, Indiana 47670
812-385-3831
R E C O R D O F D E A T H
THIS IS TO CERTIF'Y �
that according to the records of_the Gibson County Department of Health,
MADALINE J. REAVIS
Died on 05/20/1992 at A.M.
Residence
801 E. Broadway
- Princeton IN 47670
Age at deat6 : 76 Years Sex: F
Marital Status: Widow Color: White
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Cause of death: Ventricular Fibrillation (few hours)
Atrial Fibrillation (few hours)
Cardiomyopathy (several weeks)
Congestive Heart Failure (years), Coronary Artery Disease
Signed by: Bruce C. Brink, Sr., DO
410 N. Main
Princeton IN 47670
Place of burial Columbia White Church Cemetery
or removal:
Princeton IN 47670
Date of burial: OS/23/1992
Funeral�home: Colvin £uneral Home, Inc.
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425 N. Main St.
• Princeton IN 47670
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- Signed by ____
Gibson County Health Commissioner
Oakland City, Indiana 05/28/92
Address Date
Recorded locally in Book No. 12 Page No. 39 Filed: 05/27/1992