Death Certificate - Carr, Clark H_4/29/1992� GSBSON C��iNTY DEPARTMEN'1'
800 S. Prince St.
Prince'ton, Indiana 47670
812-385-3831
R E C O R D O F D E A T H
OF HEA
O (
TAIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
CLARK H. CARR
Died on 03/1?/1992 at !1:20 A.M.
Good Samaritan �vursing Home
210 Gibson
Oakland City IN 47660
Age at death : 84 Years Sex: M
Marital Status: Married Color: White
Cause of death: Cardiac Arrest, Immediate. Arteriosclerotic Heart
Disease, years. Cerebral Arteriosclerosis.
Signed by: Gerald G. Gray, DO
Hwv 64 West
Oakiand Ci'ty IN 47660
Place of burial �il!iams Cemeterv
or removal:
Pike County ?N
Date of burial: 03/13/1992
Funeral home: Lamb-3asham Memorial Chapel
226 E..Washington
Oakland City IN 4766u
Sigaed by _ �U fGn7��"`^E�.'`'`.='
Gibson County Health (%inmissioner
S E A L
_Oakland Citv, Indiana 03/20/92
.4ddress Date
Recorded !oca!!�� i�� 3ook No. 12 Page No. 34 Filed: 03/20/1992