Death Certificate - Rohl, Mayme Cova_3/29/1999GIBSON C�NTY DEPARTMENT � HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
0
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of,Health,.
MAYMB COVA ROHL
Died on 12/Ol/1995 at 3:45AM
Residence
RR # 2, Box 75A
Ft. Branch IN 47648
Age at death . 89 Years
Marital Status: Married
Sex: F
Color: White
Cause of death: Aspiration Pneumonia (2 weeks),
Dysphasia, Dementia (18 months)
Signed by:
Vivian Tucker, NID
4099 Centennial Drive
Newburgh IN 47630
Place of burial Walnut Hill Cemetery
or removal:
Ft. Branch IN 47648
Date of burial: 12/04/1995
Funeral home: Colvin Funeral Home, Inc.
6y���1
425 N. Main St.
Princeton IN 47670
Signed by �'�l'l�y�'• �'R'�
Gibson County Health ommissioner
Oakland City, Indiana 03/26/99
Address Date
Recorded locally in Book No. 12 Page No. 131 Filed: 12/06/1995