Death Certificate - Adcock, Lonnie Earl_4/8/2010GIBS• COUNTY DEPARTMENT O�HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CSRTIFY
that accordiag to the records of the 6ibson Couaty Departmeat of Health,
LONNIE 6ARL ADCOCR
Died on 06/06/2002 at 8:30pm
Residence
509 N. Lincoln St.
SO[[lerville IN
Age at death . 63 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Acute Respiratory Failure (months),
O�cygen Deprivation, (hours),
ACUte ASthmatiC AttdCk (hours),
Status Asthmaticus
Signed by: Gerald G. Gray, DO
Hwy 64 W25t
Oakland City ZN 47660
Place of burial Evansville Crematory
or removal:
Evansville IN
Date of burial: 06/10/2002
Funeral home: Corn-COlvin Funeral Home, Inc.
S E A L
323 N. Main Street
Oakland City IN 47660
� G� ����
Signed by
Gibson County Health Commissioner
Princeton, Zndiana 06/10/02
Addre55 DdtB
Recorded locally in Book No. 14 Page No. 40 Filed: 06/10/2002