Death Certificate - Dockery, Orvel_10/5/1998GIBSON CO�TTY DEPARTMENT (�HEALTH
800 S. Prince St.
Princeton, Indiana 47670•
812-385-3831
RECORD OF DEATH
THZS ZS TO CERTIFY
that according to the records of the Gibson County Department of Health,
ORVEL DOCKERY
Died on 06/09/1998 at 10:45am
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age'at death . 81 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Anteroseptal Myocardial Infarction (3 hours)
Diabetes Mellitus, 'Ij�pe II, Chronic Renal Disease
Signed by: william R. Wells, hID
510 N.Main St.
Princeton IN 47670
Place of burial Maple Grove
or removal:
Date of burial:
Funeral home:
S E A L
Boonville IN 47601
06/12/1998
Colvin Funeral Home, Inc.
425 N, Main St.
Princeton IN 47670
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Signed by
Gibson County Health Commissioner
Recorded locally in Book No. 13
ot9 - �oc,�4-b�
Oakland City, Indiana 09/29/98
Address Date
Page No. 67 Filed: 06/15/1998