Death Certificate - Tucker, Violet_3/31/2000RECORD OF DEATH •
•
G[BSO� COU\Tl' DEPART�fENT OF HEALTH
PRI\CETOX. I\D(AVA
THIS IS TO CERTIFI', that our records shoa• VIOLET NADINE TUCKER died
.Ianuar 22 1994 e� 3:20 PH Gibson General Hospital Princeton Indiana
month dac year hour of death cveet, ho,pital. rvral
:1ge at Deach 78 Se�Female Color �ite �qarital Stams Married
}�ears a�rite w�hether martied or single
Primar� cau;e of death �iren �ca� Cardio—Resniratory Arrest Immediate Cerebral Anoxia lmmediate
Septicemia, 2 days. Diabetes Mellitus Insulin Dependent 30 years
Chronic Acute Renal Failure.
Signedbc Bruce C. Brink, Jr., L.O. Princeton Indiana
phcs�aan oreornner addre�:
Place of burial or remoral Columbia White Church Cemeterv Princeton Indiana
name o( remeteq� addre�s
Date of burial .Ianuary 26 1994 Colvin Funeral Home Inc Princeton Indiana
Funeral Uirecror addres�
SEAL
Recorded locally in book
12
qa 5
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Si�ned �j���n1 �"'�`12�%f.�
Gib�on County Health Co sioner
Oakland City, Indiana January 28, 1994
address dace
No84 Filed� January 28, 1994