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