Death Certificate - Scott, Gladys_11/7/2003�
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GIBSON COUNTY DEPARTMENT OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIB I8 TO CSRTIPY
that according to the recorda of the Qibaon County Department of Health,
GLADY3 M. SCOTT
Died on�12/04/2001 at 7:20AM
. Gibson General Hospital
1808 Sherman Drive
Princeton IN 476�0
Age at death i.90 Yeare 8ex� F`�
Marital Status: Widowed Color= White
Cauae of death: Ruptured Aortic Aneurysm,' Osteoporosis,
Arteriosclerotic Vascular Disease,
Hyperglycemia
Bignad by: Sruce C. Brink, Jr., D.O.
410 N.Main
� � - Princeton IN.47670
Placa of burial Columbia White Church Cemetery
or removal: �
Princeton ZN 47670
Date of burial: 12/07/2001
Funeral home: Colvin FLneral Nome, Inc.
425 N. Mdin St.
Princeton IN 47670
S E A L
Signed by """" �� �`` " %� �
Gibson County Health Commissioner
Recorded locally in Book No,,:14.
Princeton, Indiana 12/11/O1
Addresa Date
Page No. 26
Filed: 12/11/2001 i
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