Death Certificate - Williams, Grace Imogene_3/24/1998GIBSON CO�'�1TY DEPARTMENT O�HEALTH
�800 S. Prince St.
Princeton, Indiana 47670
812-385-3831 �-
RECORD OF DEATH
SHZS IS TO CERTIFY �
- that according to the records of the Gibson County Department o€ 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: Senticemia, Pyelonephritis, ASHD
Signed by: Arun C..Kumar, MD
105 N. 2nd Ave.
Princeton IN 47670
Place of burial Walnut Hill Cemetery
or removal:
Date of burial:
Funeral home:
S E A L
rt. Branch IN 47648
10/16/1997
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton ZN 47670
Signed by
Lt��,�������a
Gibson County Hea� h Commissioner
Oakland Citv, Zndiana 10/16/97
Address Date
Recorded locally.in Book No..13 Page No. 47 Filed: 10/16/1997