Death Certificate - Chamberlain, Terry Kent_2/3/1992C�
GIBSON �'OUNTY DEPARTM��IT
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
R E C O R D O F D E A T H
O F H E A L T H
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
TERRY KENT CHAMBERLAIN a
Died on 06/17/1990 at lOAM-12PM
home
RR It i
Hazleton IN 47640
Age at death: 48 Sex: M Color: White Marital Status: Married
Cause of death: Acute Myocardial Infarction, Due to severe Coronary
Artery narrowing, Atherosclerotic Cardiovascular Disease
3i�ed by: Mark R. Walter, Deputy Coroner
425 N. Main
Princeton IN 47670
Place of burial Decker Cemetery
.or revoval:
Patoka, IN 47666
Date of burial: 06/20/1990
Ftimeral ha�e:
S E A L
Colvin Funeral Aome, Inc.
425 N. Main St.
Princeton IN 47670
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F EB 31992
�uD TO�s
Signed by !� f`��G. '"" '`''s4'b
Gibsan County Heaith C" issioner
Oakland City, Indiana 06/19/90
Address Date
Recorded locally in Book No. 11 Page No. 118 Filed: 06/19/1990