Death Certificate - Colvin, Wright_9/27/1977RECORD OF DEATH � •
n
GIBSON COUNTY •DEPt1R,TMENT OF HEALTH
PRINCETON, INDIANA
THIS IS TO CERTIFY, that our records show -�WRIGHT COI,VIN
9/12�1977 a+. 9PM Gib. Gen. Hosp. Princeton, Ind.
month day yeaz hour of death• ' -� ' ,. atreet, hospital, rvral
Age at Death $Z Sex M• Color �� T4arital Statuc Married
years write whether married or single
Primary cause of death given was Congestive heart failure
Signed by R. E. Weitzel, M.D.
physician or coroner
Place of burial or removal I. 0. 0. F.
nsme of cemetery
Pr
er.on, lna.
address
Francisco, Ind.
aadress
Date of burial 9/15/77 Colvin & Son Princeton. Ind.
Fiineral Director addmss
- SEAL
� G���i � � .�,�
SignP�
Gibson County Health Co missioner
Oakland City, Ind. 9/15/77
address dau
Recorded locally in book No. 9 page No. � � ��ed: 9�15�77