Death Certificate - Davis, Ralph_10/24/2000a
`GIBSON �UNTY DEPARTMENT�F HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
RALPH J. DAVIS
Died on 06/16/1995 at 2:05 AM
Gibson General Hospital
1808 Sheiman Drive
Princeton IN 47670
Age at death . 70 Years Sex: M
Marital Status: Married Color: White
Cause of death: Cardiac Arest, 10 minutes.
Coronary Artery Disease.
Signed by: G. Venkatapath
St. Marys Family Practice Crt,
Evansville IN
Place of burial Blythe Chapel Cemetery
or reatoval:
Date of burial:
Funeral home:
S E A L
Owensville IN 47665
07/20/1995
Stodghill Funeral Home
304 W. Locust Street
Ft. Branch IN 47648
i � ,�,�//
Signed by �G' =-' -r'�' ��1 �YJ
Gibson County Health Commissioner
Princeton, Indiana 10/24/00
Address Date
Recorded locally in Book No. 12 Page No. 119 Filed: 06/26/1995