Death Certificate - Simmons, Margaret Ann_4/29/1997� GIBSON C�JNTY DEPARTMENT �F HEALTH
800 S. Prince St.
Princeton, Zndiana 47670
812-385-3831
RECORD OF DEATH
�
THIS IS TO CERTIFY
that according to the recorda of the Gibson County Department of Health,
� MARGARET ANN SIMMONS _
Died on 02/28/1997 at 5:20 AM , �
Residence'
423 West Cherry St.
Patoka IN
Age at death . 70 Years Sex: F
Marital Status: Married Color: White
Cause of death: Metastatic carcinoma, 2 months.
Emphysema, 10 years.
Chronic Bronchitis, 20 years.
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Signed by: Krishna Murthy,NID
105 N.2nd
Princeton ZN 47670
Place of burial Oak Hill Cemetery
or removal:
Patoka ZN 47666
Date of burial: 03/03/1997
Funeral home: Colvin Funeral Home, Inc.
S E A L
425 N. Main St.
Princeton IN 47670
.vU��, �.°..�,,�;�
Signed by �^'
Gibson County Health C missioner
Oakland City, Indiana 03/04/97
Address . Date
Recorded locally iri Book No. 13 Page No. 33
Filed: 02/28/1997
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