Death Certificate - Collins, Ray_10/23/1991� �
G I SSO�J COU.NTY D E�''r-`,.R"3'M�E IVT
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
R:E CORD OF D� ATI-i
c�� E+lE RLTH
THIS IS TO CERTIFY
that according to the records of the 6ibson Coanty Department of Health,
RAY COLLINS
Died o❑ 02/23/1991 at 5:25pm
Home
R.R X 2 Box 70
Prince'ton IN 47670
Age at death: 71 Sex: M Color: White Marital Statns: Married
Caase of death: Refractory Conqestive Heart Faifure (6 weeks),
Cardiortiyopathy (6 months), Severe C 0 P D
Signed by: Arun C. Kvmar, MD
105 N. 2nd Ave.
Princeton IN 47670
Place of burial Maple Hill
or removal:
Princeton IN 47670
Date of burial: 02/26/1991
Faneral home: Kendall Funeral Home
S c A L
520 S. Main St.
Princeton IN 47670
(� G��r,n, � .,�:� ,.40
Signed by _ _ __� � _
Gibson Ccunty Heal'th Comnissioner
Oakland City. Indiana 04/08/91
address Date
necorcarj I��cal1, in ��..,ok D7,�. t? P�s,» iqe- .� Piled: 0'2/?%JI°91