Death Certificate - Wallace, Fannie M_12/14/1990�
C�
G I B S O N C O U N T Y D E P AR T M E N T O F
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
R E C O RD O F D E A T H
� ���
HE A L TH
THIS IS TO CERTIFY ent of Health,
that according to the records of the Gibsan County Departm
FANNIE R. WALLACE
I1ied on 11/23/1990 at 11:00 P.M.
Gibson General Hospital
� 1808 Sherman IJr.
Princeton IN 47670
Age at death: 90 Sex: F Color: White Marital 3tatus: Married
�Cause of death: Acute Pulmonary Edemia ( few hours)
(Congestive Heart Failure)
Pneumonia- Gm Neg UTI
Signed by: William R. Wells, MD
510 N.Main St.
Princeton IN 47670
Place of.burial Maple Hill
or removal:
Princeton IN 47670
Date of burial: 11/26/1990
Fimeral home:
S E A L
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
r � %% � �%
- Signed by _ ��i%����(�^ 'O�`�p �?i
Gitso:i Cou:,ty i'.ea:��W.�iasioaer
.
Oakland Citv Indiana 11/30/90
Address Date
Recorded locally in Book No. 11 Page No. 131 Filed: 11/30/1990