Death Certificate - Calvin, Paris_2/16/1995, : `-, . GIBSON �UNTY DEPARTMENT OF �_ALTH
. , , 800 S. Prince St.
. ; - • _ Princeton, Zndiana 47670
: ' � . 812-385-3831
� i '
:_ _ _:' ' ` -. , " RECORD OF DEATH
- THIS �IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
. PARIS CALVIN
Died on 11/14/1965 at 3:OOam
Church Nursing Home
Princeton IN 47670
Age at death . 61 Years
Marital Status: Widow
Sex: M
Color: Black
Cause of death: Hypostatic Pneumonia (7. days),
Cerebral Hemorrhage with Left Periplegial (1 1/2 month
Signed by: R.E. Weitzel, MD
Princeton, IN 47670
Place of burial Sand Hill Cemetery
or removal:
Princeton, IN 47670
Date of burial: 11/18/1965
Funeral hcne: Colvin & Son
425 N. Main
Princeton IN 47670
S E A L
Signed by �/��'�'t9G�• ���
Gibson County Hea Commissioner
Oakland City, Indiana 02/02/95
Address Date
Recorded locally in Book No. 7 Page No. 116 Filed: 12/O1/1965