Death Certificate - Elliott, Duane A_8/12/1994GIBS�OUNTY DEPARTMENT O�EALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THZS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
DUANE A. ELLIOTT
Died on 07/31/1994 at 1:38 P.M.
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 64 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Respiratory Failure, Immediate
COPD, 4 Years. Cigarette Addiction.
Signed by: Edward White, D.O. ��� .�A �
410 North Main St. � '
Princeton ZN q 1
i C�i1P_ 1 n, 1� �
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Place of burial Mt. 01ive
or removal:
Date of burial:
Funeral home:
S E A L
Mt. Olympus IN
OB/03/1994
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton ZN 47670
��D1TOR �'��
Signed by �ifl �!"'tiG�. '°°"�'�''p
Gibson County Heal Commissioner
Oakland City, Indiana 08/09/94
Address Date
Recorded 1oca11y in Book No. 12 Page No. 95 Hiled: 08/04/1994