Death Certificate - Ashby, Arnold V_2/13/1995GIBSON �JNTY DEPARTMENT OF�ALTH - . =
800 S. Prince St. '
Princeton, Indiana 47670
812-385-3831
�_
. . • t � ,
. . t : , �,+.
RECORD OF DEATH ` �
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
ARNOLD V. ASHBY
Died on O1/28/1995 at 8:48PM
Residence
118 West Pine Street
Princeton IN 4�670
Age at death . 85 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Cardio Respiratory Arrest (immediate),
CVA, Atrial Fibrillation,
Old Myocardial Infarction
Signed by: Bruce C. Brink, Sr., DO
410 N. Main
Princeton IN 47670
Place of burial New Liberty
or removal:
Coe IN
Date of burial:
Funeral home:
S E A L
02/O1/1995
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton ZN 47670
� ��
��.f,,' C ;�-,.tis:� f/,, � ,
Signed by ' /,�
Gibson County Heal" h Commissioner
Oakland City, Indiana 02/07/95
Address Date
Recorded locally in Book No. 12 Page No. 108 Filed: 02/07/1995