Death Certificate - Scholz, Marilyn L_10/10/2002._'_:....:. ._.�_..'__,_.,...�i ..__'____._ ._.._ __ .__'_._.._. __ .._____ _'_ . . ..
GIBS�N COUNTY DEPARTMENT�F HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
MARILYN L. SCHOLZ
Died on 06/23/2001 at 1:30AM
Residence
R.R.# 1 Box 39-E
Princeton IN
Age at death . 64 Years
Marital Status: Married
Sex: F
Color: White
Cause of death: Metastatic Colon Cancer, 2 years.
Signed by: Edward Fox, M.D.
801 St. Mary's Drive
Evansville IN 47714
Place of burial St. John's U Church
or removal:
Buckskin IN 47647
Date of burial: 06/25/2001
Funeral home: Colvin Funeral Home, Inc.
S ^n A L
425 N. Main St.
PrinCetOn IN 47670
Signed by ' "� G �j`��" "✓
Gibson County Health Commissioner
Princeton, Indiana 10/10/02
Address Date
Recorded locally in Book No. 14 Page No. 14 Filed: 07/03/2001