Death Certificate - Stevens, Verna_2/14/1990�� �' . p� �,
GSBSON COUNTY DEPARTM�.NT OF HEAL'lfi
B00 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 CERTIPY
that according to the records of the Gibson County Department nf Health,
VERNA STEVENS
Died on 12/i9/19i;9 at 12:4� P.?1.
Holiday �tanor vursing Home
R.R. :'- 4
Princeton I� 47670
Age at death: 89 Sex: F Color: {dhite Marital Status: Plarried
Causc of death: Pulmonary Edema (congestive heart failure) 2 days.
ASHD, Chronic I3rain Syndrome
Si�ied by: Isilliam R. kells
�10 �.Main St.
Princeton I\ 47670
Place of Uurial k'ainut Hill Cemeterv
or removal:
� Ft. Branch I\ 47648
Date of Uurial: 12/21/1989
Funeral home:
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S E A L
CU1\`lll f4I1C1'di i�Uiiic� iI7C.
42� �. `lain St.
Princetoti IN 47670
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Signed by ����?o_� .�.�!
Gibson County Healtl .,ommissioner
Oakland City, Indiana 02/13/90
Address Date
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Recorded local7�� in Hoo!: \o. 11 Paee \o. I.US Filed: Ol/02/1990 �