Death Certificate - Wallace, Eva G_10/25/1996or. q- o3���m
GIBSON �UNTY DEPARTMENT O�ALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
�HIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
EVA GERTRUDE WALLACE
Died on 07/16/1996 at 8:22AM
Holiday Manor
6th Avenue
Princeton IN
Age at death . 85 Years Sex: F
Marital Status: Widow
Color: White
Cause of death: Cardiac Respiratory Arrest,
Cerebral Anoxia,
Myocardial Infarction,
Diabetes Mellitus
Signed by: Bruce C. Brink, Sr., DO
410 N. Main
Princeton IN 47670
Place of burial Owensville Cemetery
or removal:
Owensville IN 47665
Date oE burial: 07/19/1996
Funeral home: Colvin Funeral Home, Inc.
S E A L
425 N. Main St.
Princeton ZN 47670
Signed by 'S "` s ���� '�
Gibson County He th Commissioner
Oakland City, Indiana 07/19/96
Address Date
Recorded locally in Book No. 13 Page No. 16 Filed: 07/19/1996