Death Certificate - Riley, Cora L_9/20/2000J
GIBSON �UNTY DEPARTMEN�OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
� RECORD OF DEATH
THIS IS TO CfiRTIFY
that according to the recorda of the Gibson County Department of Health,
CORA LIICZLLE RILEY
Died on 10/02/1999 at 10:40PM
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death .
Marital Status:
78 Years
Widowed
Sex: F
Color: White
Cause of death: Myocardial Infarction, 2 days. Zschemic Heart Diseases
years.. Chronic Obstructive Pul. Disease
Peripheral Vascular Diseases. S/P Stroke�
Signed by: Rameshbhai P. Patel, NID
105 N. 2nd Ave.
Princeton IN 47670
Place of burial Providence Cemetery
or removal:
Date of burial:
Funeral home:
S E A L
Francisco IN 47649
10/06/1999
Corn-Colvin Funeral Home, Inc.
323 N. Main Street
Oakland City IN 47660
Signed by yv�'��`yH'!�°�Z.�r�i
Gibson County Health ommissioner
Oakland City, Indiana 10/14/99
Address Date
Recorded locally in Book No. 13 Page No. 103 Filed: 10/14/1999