Death Certificate - Bates, Louis M_1/19/1989� � i �
+ GIBSON COI�\'T] DEPARTMEA'T OF HEAL7'H
800 S. Prince
� PrinceCon, indiana 47670
812-385-3831
i
�
RECORD OF DEATH
TNIS IS TO I:EkTIFT,our records shoa• Louis `1 Bates
llied on O1/10/7989 at 3:5flPM
Gibson General Hospital
1808 Sherman Drive Princeton I�
Age at Deatli: 07 Sex: it Color: White itarital Status: Ptarried
Cause of death: Cardiac Arrest, Thoracic Aneurysm
Signed b}�: Arun C. Kumar, i1.D.
105 v. 2nd Ave. Princeton I\ 47670
Place of burial or removal: Montgomery Cemetery
Oakland City I\ 47660
Dnte oP burinl: Ol/I"t/197SQ
Puneral Home:
i:endall Funeral Home
520 S. `lr:iin
Princetor. IN �47670
� � � � W�,�,,��.aa �- .
Signed UY--------------
GiUson County Health Commissioner
SEAL
Oakland City, Indiana O1/18/89
address date
Recorcic:d 1�>c�+l ly in Ixv�h ��. ll Ft�ge A'o. 42 Fi led: O1/lU/19t39