Death Certificate - Alcorn, Arthur_7/7/1980�
i
i
i
�
�
�
• �
NLCOIZD OF DE4TH
1=.a?Li
i
,,;� .
-- = J :., _ ---- ------ . --�
�" � .. � ' ,
;r-- - �
GiRSON COUNfY ll1:PAI;1'\f1.I�"f OF IiLALTH r
i r�ttNCF:rox, �vi�i;�:aa i
� , ' .J
k�... '. . ' � ' �
THIS IS TO CERTIFY, that our records show A A�R^ ~�^ ,��pi�r '
' ' - -- tliarl h
�/. '�4°^ a�- 1:45AM ; h��4�� Princeton, Ind. �
month day year hour of death � street, hospital, rural
- .Sea -a� D�itil _ ��' -Sex 'F • � - • - —
l;oior' �,�h. tKarital Status i:i�=="-ea"
ye8� wrife whether married or single
Primnry cnuse of denth given wxs Cirrhosis of liver with ascites
Sisncd by R. E. �;le.itzel, @;.D, Princetor., .Ind.
physician or eoroner nddreea �
Placc of Uurinl or removnl !9hite Church Princeton nd• ____
name of cemetery addrrss
Dnte of burial 6�26/80 Colvin Funeral Home, Inc. Prir,ceton r�•�
Flineral Director address
SEAL
- - - � - �. / � . GO (/ �
' ��� N�/ / ��(i� �QLc,�� ��
� 't�,
Gibson County Health Commi�J��ner
Oakland City, Ind. �/3�80
aadreas dace
Recordecl locally in lwok ATo. 10 Page No. iS �led: %�2/80
v,.-.�--,.-�,�.,...--�._.�._