Death Certificate - Clemens, Loyd A_2/7/1990�� � �
GSBSON COUNTY D�:1�ARTM�.NT OF F-IEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECOR]7 O1' D�:A7,H
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
LOYll A CLEMLNS - y , .",.
Died on 01/09/1990 at �:00 A.M. `� � --
Gibson General Hospital � ..�..
1008 Shermaii e . -- ,
Princeton IN 47670 ;.�., -
�,
Age at death: 76 Sex: M Color: k'hite Marital Stetus: Marri�ed
Causc of dcath: Liver Cirrhosis
Si�med by: Yong Cho, MD
180E3 Sherman Drive
Prince'ton I\ 4i670
Place of burial 'taple Hill
or removal:
Princeton I\ 47670
Date of Uurial: O1/12/1990
Funeral home:
S E A L
Colvin F�neral Home, Inc.
425 �. `lain St.
� Princeton I\� 47670
�. .
/ � , ^�yy./�r,Zl
Signed U� --- � -- vJ/!'k� �J ------
GiUsan County Health Commissioner
Oaklaiid Cit��, Indiana O1L23/90 ;I
Add�•ess Date �
Recorreu locallti� in Ilool: \o. 11 Page \o. 1Q7 I'iled: O1/1B/1990
a