Loading...
Death Certificate - DeCoursey, Ray E_4/14/1981RECORD OF DEATH ' . GIBSON COUNTY DEP9RT?4IENT OF HEALTH PRINCETON, IDIDIAAIA THIS IS TO CERTIFX,_that.our reco�rds sho«� RAY E. DeCOliRSEY died ��3��1 '; at $��OPM= Gib. Cen.Hosp. Princeton, Ind. month day year��� hour of� death street, hospital, rural Age at Death 72.` Se�c I Ni,^• Color �•n4arital Status M' years . � � �vrite �chether married or =ingle Primary cause of death given was�' " Carcinoma of I�ung Signed by Wm. R. Wells, MD Frinceton, Ind. physician or coroner address Place of burial or remova� Decker RR Patoka, Ind. name of cemeterp address Date of burial ��6�8i Colvin Princeton, Ind. Fi�neral Dimctor address SEAL � ��"I "LiZi � <'�,i�' s��ea Gibson Countc Health Commissioner Oakland City, Ind. �/9/$1 _ address date Recorded locally in book No. 10 Page No. 37 Filed: �'�9�81