Death Certificate - Conley, John_8/24/1989�. �
,, �
RECORD OF DE �TH
GIBSO\ COUN I'i' DEP �RTIfENT OF HEALTH
PRIb?CETQ\`, INDIdh`A
THIS IS TO CERTIFl. that our records shoa• �n�+�� t'n�r Fv died
November 11,198 at 2:19 P.�i. Gib=or. General iiospital Prince�on, I-!.
month dap yeaz hour of death streei, hospital, rural
�,ge at Deat}� 6� Se� i'fale Color ��nite �Iarital Siatus "iarried
years wri'x r.hecher ma-ned or single
Primary cause of deatli �ven ���as Acute ,ivocardial Infarction; Arteriosclero�ic
Coronary artery disease; Cardiomvooathv.
Signedby Bruce C. Brink, Sr.,D.O. Princeton, In.
, ph}sician or coroner address .
� Otwell Otwe11 In.
-� Place of burial or removal-------------------- � -------.--------.----
' name of cemetery � address
Date of buriaL_ �`'ovember 15, 1986 Colvin Princeton, In.
. Flineral Director address
i � Jy
i , SE_�li Si;ne N��",fKb'ri`�, �gr�a�' -
� . � - Gibson Cour.tp�-HeaiL._Go ssiore:
� Oa��anci Citv, In. �iocember 26, i98'c
I � address � date
� 11 28 �ovember 25, 1986
{ Recorded locally in bool: No. Page No. Filed: '
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