Death Certificate - Beasley, Thomas B_10/13/1994GiBSON C�UNTY DEPARTMENT OF tiE��TH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEA'TH
'THIS IS TO CERTIFY
t.liat according to the records of the Gibson County Department of. Hnal.t ,
THOMAS B BEASLEY
Uied on 05/31/1984 at Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Aqe at death . 67 Years
Sex: M
Pfarital Status: Married
Color: White
Cause of death: Cardiac arrest, (10 mins.) Ventricular arrhythmia,
pi�lmonary embolism (20 mins), Arteriosclerotic heart disea>e, C��j�9- E�P
fa.i.lure (2-3 yrs) Cerebro vascular accident
Si.gned hy:
K. Murthy, M.n.
105 N. 2nd Ave.
Princeton IN 47670
Place of burial Montgomery
or removal:
Oakland City IN 47660
nate of burial
Fixneral home:
� F A L
06/03/1984
Corn Mortuary
323 N. t�lain
Oakland City IN 47660
� i
/ .� ��,f,�,.=� C�'" ..�,� �.a' -
Signed by k� ��� —
Gibson County Heal .COmmissivner
Oakland Cit , IncLiana ____l��/l� �9'�--
--Y--'--- Da t: e
— Address
Recorded locally in Book No. Page No. 122 Filed: 06/18/196�1