Death Certificate - Deal, Darby Ollie_1/9/2001GIBSON�OUNTY DEPARTMEI� OF 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,
DARBY OLLIE DEAL
Died on 11/14/2000 at 11:OSAM
Residence
R.R.# 3 Box 274
Owensville IN
Age at death . 87 Years Sex: M
Marital Status: Married Color: White
Cause of death: Acute Exacerbation of Chronic Renal Failure, weeks
Congestive Heart Failure, Years
Polycystic Kidney Disease, Years
Previous CVA
Signed by: Lance Payton, M.D.
410 North Main St
Princeton IN
Place of burial Owensville Cemetery
or removal:
Owensville IN 47665
Date of burial: 11/17/2000
Funeral home:
S E A L
Holders Funeral Home of
Gibson County, Inc.
P.O. Box 518
Owensville IN 47665
Signed by �".� G' �,J�""�'/��/✓
Gibson County Health Co�nissioner
Princeton, Indiana 11/21/00
Address Date
Recorded locally in Book No. 13 Page No. 132 Filed: 11/21/2000