Death Certificate - Williams, Grace Imogene_11/2/1998�Y GIBSON C�' T TY DEPARTIVIENT O� HEALTH
800 S. Prince St.
Princeton, Indiana 47670 -
812-385-3831 ' • .
RECORD OF DEATH
�
THZS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
GRACE IMOGENE WILLIAMS
Died on 10/11/1997 at 10:33pm
Gibson General Hospital
1808 Sherman Drive
Princeto� IN 47670
Age at death . 82 Years
Marital Status: Widow
Sex: F
Color: White
Cause of death: Septicemia, Pyelonephritis, ASHD
Signed by: Arun C. Kumar, MD
105 N. 2nd Ave.
Princeton IN 47670
Place of burial Walnut Hill Cemetery
or removal:
Ft. Branch IN 47648
Date of burial: 10/16/1997
Funeral home: Colvin Funeral Home, Inc.
S E A L
425 N. Main St.
Princeton IN 47670
Signed by �!�'�'ryv��G,. �.s$r.�
Gibson County Heal h Commissioner
Oakland City Indiana 10/16/97
Address Date
Recorded locally.in Book No. l3 Page No. 47 Filed: 10/16/1997