Death Certificate - Corn, Paul R_6/20/2003GIBSO�OUNTY DEPARTMENT O�ALTH
800 S. Prince St.
Princeton, Zndiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CSRTIPY
that according to the recorde of the Qibaoa County Department of Health,
PAIIL R. CORN
Died on 04/03/1978 at 5:30pm
3 miles N.E. of
Francisco IN 47649
Age at death . 36 Years
Marital Status: Married
Sex: M
Color: White
Cauae of death: Asphyxia; Drowning (accident)
Signed by: Richard D. Hickrod, Coroner
425 N. MdiR
Princeton IN 47670
Place of burial Montgomery Cemetery
or removai:
Oakland City IN 47660
Date of burial: 04/06/1978
Funeral home: Lamb-Hedges Memorial Chapel
�`' � r Oakland City IN 47660
� -� �
S E A L .�
� � --:- �
Signed by � G �/��/` ""
Gibson County Health Commissioner
Princeton, Zndiana 06/20/03
Address Date
Recorded locally in Book No. Page No. 41 Filed: 04/06/1978