Death Certificate - Williams, Melvin_6/17/1992� ; b�q �3a8�-oa
i
-G I B S O N C O U N T Y D E P A R T M E N T O F H E A L T H
800 S. Prince St.
-. Princeton, Indiana 47670
812=385-3831
R E C O R D O F D E A T H
TfSIS .IS `1'0 CIIYfIFY
'- that according to the records of the-Gibson County Department of Health,
- MELVIN WILLIAMS
- Died on 06%11/1992 at 11:40 A.M.
Gibson General Hospital
1808 Sherman Drive
- Princeton IN 47670
Age.at death :. 80 Years Sex: M
' ` °riarital.Status:
Cause of death:
Signed by:.
Married Color: White
Asystole, Severe.ASHD with Recent Lateral MI several months
Cholelithiosis
William R. Wells, MD
510 N.Main St.
Princeton IN 47670
Place.of burial I.O.O.F. Cemetery
or removal: 1015 N. Hart St.
Princeton IN 47670
Date_of_burial: t06/13/1992
F�neral_home: Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
S E A.L
�I�E�
JUN 17 1g9z
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Signed by �_��Cr. '1�6��
Gibson County Healtji�Commissioner
Recorded locally in Book No. 16
Oakland City, Indiana 06/16/92
Address Date
Page No. 40 Filed: 06/16/1992