Death Certificate - Rhinefort, Goldie_10/7/2003GIB� COUNTY DEPARTMENT� HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
. that according to the recorda of the Gibaon County Department of Health,
GOLDIE 2 RHIN$gORT
Died on 10/31/2002 at 8:40PM
Residence
R.R.# 2 BOX 51
Ft. Branch IN
Age at death . 79 Years Sex: F
Marital Status: Widowed Color: White
Cause of death: Metastatic Adenocarcinoma, 3 Months.
Signed by: Anthony Stephens,NID
801 St. Mary�s,Dr.
Evansville IN 47714
Place of burial St. Lucas
or removal:
Ft. Branch IN 47648
Date of burial: 11/04/2002
Funeral,V,�G.` Stodghill Funeral Home, INC
.�\� �����3�� . Li04� W. Locust Street
�-, , ••°�-�:°''• 'Fti BTdnCh IN 47646
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: " Signed by ��"`"" " G"���_�
Gibson County Health Commissioner
Princeton, Indiana 06/30/03
Address Date
Recorded locally in Book No. 14 Page No. 50 Filed: 11/07/2002
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