Death Certificate - Demaree, John Ivan_10/8/1993G I B S O N
� •.
C O U N T Y D E P AR T M E N T
800 S. Prince St. "
Princeton, Indiana 47670
812-385-3831
R E C O RD O F D E A T H
O F H E A L TH
TflIS IS TO CIItTIFY
that according to the records of the Gibson County Department of Health,
JOHN IVAN DEMAREE
Died on 02/05/1993 at 12:40 AM
Owensville Convalescent Center
Hwy 165
Owensville IN 47665
Age at death : 92 Years Sex: M ���� �
Marital Status: Married Color: White
QCT 8 1993
Cause of death: Pneumonia, Fracture Hip
signed by
Chester Surkett, M.D.
P.O. Box 550
Poseyville IN 47633
Place of burial Owensville Cemetery
or removal:
Owensville IN 47665
Date of burial: 02/08/1993
�meral home: Holders Funeral Home of
Gibson County, Inc.
P.O. Box 518
Owensville IN 47665
S E A L
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AUDITOR �
Signed by " � �������'�
Gibson County Health ommissioner
Oakland City, Indiana 10/07/93
Address Date
Recorded locally in Book No. 12 Page No. 58 Filed: 02/LO/1993