Death Certificate - Wells, Mary L_8/19/1988RECORD OF DEATH � � .
GIBSON COUNTY DEPARTA4ENT OF HEALTH
, � PRI�CETON, [NDIAN� � .
THIS IS TO CERTIFY, that our records show MARY LUCILLE WELLS
Q ��� I
i
July 28, 1988 ar 5:05 A.M. Gibson General Hospital Princeton, In.
month day year � hour o( deeth . street, hospital, rural
AgeatDeath SiF Sex FAma=�_Color White D9aritalStatus Married
years ' � ' write whether martied or single
Primary ceuse of death given K�as Congestive Heart Failure- Pulmonary Edema ( several wks .
Diabetes Mellitus, Arteriosclerotic Heart Disease ( years).
Signedby 4�i11iam R. Wells, b1.D.
� � physician or coroner
Place of burial or removaL T�'hite Church
.neme of cemetery
Princeton,
address
Princeton,
eddress
In.
In.
Dateofburia� July 30, 1988 Colvin Funeral Home, Inc. Princeton, In.
Funerel Director address
SEAL
Recorded locally in book
11
A
Signed (✓U�/ �'%fG_ �h���.�1
Gibson ounty Health Com sioner ,
Oakland City, In. August 1, 1988 '
eddress ' de:e
No 67 Filed: August 1, 1988
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