Death Certificate - Davis, Russell F_3/27/1986RECORD OF DEATH � / �
/
GIBSON COUNTY DEPAP,TIiENT OF H�ALTH
/ PRINCETON, INDIANA
'PHIS IS TO C�RTIFl, th�t our records show _ RUSSELL F. DAVIS
�e.b__31 1986 at 1:10 A.Pd. Gibson General Hosnital Princeton, In.
month day pear hour of death street, hospital, rvral �
Age at Death 73 Sex hlale Co�or i9hitenqazital Status riarried
years write �vhether matried or eingle
Primary cause of death given �cas_ Respiratory Failure
Alzeheimer's Disease
Signed bc Young Cho, NI.D.
physician or coroner
:'lace of buriai or remoca: I• 0. O. F.
name of cemetery•
Date of burial February 5, 1986
F�neral Director
SEr1L
Colvin
Princeton, In.
address
Princeton, In.
address
Princeton, In.
address
signed ����'n7G. +�,ks,J
Gibson County Health missioner
Oakland City, In. Feb. 27, 1986
address ��
°.ecorded locally in book No. 1i Page No. 3 �y�ed: February 6, 1986