Death Certificate - Doerner, Clarence Albert_8/1/1988RECORD OF DEATH � �
GIBSON COUNTI' DEPARTbIE\T OF HEALTH
PRI\CETON, IIVDIANA .
THIS IS TO CERTIFY, that our records show �T ARENCE ALBERT DOERNER died
July 22, 1988 ar 11:20 A.M. Wirth Osteopathic Hospital Oakland City
month day year . hour o( deeth street, hospital. cvrel IN
Age at Death 74 Sex Male Color t�hite �.larital Status Married
years write whether married or single
Primary cause of death given was Pneumonia-ACUte Cdreinoma lung
Signedby H. A. Peters, D.O. Oakland City, In.
� physician or coroner eddress
Place of burial or remnvaL Tocansley Mackev, In.
. nameo(cemetery address
Date of burial July 25 1988 Corn Mortuary Oakland City, In.
Funerel Director , eddress
SEAL
J Signed �/"r/ ��7� -r"��'�
Gibson County Health Com sioner
Oakland City, In. August 1, 19E8
add`ess � date
Recorded locally in book No. 11 Page No 67 Filed: July 27 , 1988
. . . .
.
. . . . . �_ .
' . • r: - • - . - -
, .
e
I .
�: .
�
A