Death Certificate - Dougherty, Richard E_6/30/1986RECORD OP' DEATH
GII�SON COUNTY DEPAFTPI�T�'T OF I-IEALTH
FRINCETON, INDIANA
THIS IS TO CEP,TIFY, that our records show RICHARD E. DOUGHERTY died
May 23, 1986 at 1C:15 P.M. Gibson General Hosoital Princeton, In.
month day year hour of death street, hospital, rural
9ge at Death 60 Sea D7ale Color �ar���Iarital Status Married
years vmte whether marricd or eingle
Primary cause of death given �vas Cr3z.fli.or.e.sp� ra or�� Arraa'-; Prnh�tjl e Ac�te
Myocardial Infarction (under 1 Hour)
Signedby BarrV B• Ferris, M.D. Gibson General Hosoital Princeton, In.
physician or coroner address
7?lace of burial or removal Forsvthe Oakland Citv, In:
` name of ceme[cry address
Date of
S�AL
86 Kendall
FLneral Director
Princeton, '
address
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Gi6son C�'witp`�Hcalth Commissioner
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:{ecorded locall}• in bool: A`o. 11 Page No. 1� riled: Ma�r�27�,.,1986 �
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