Death Certificate - Ellis, Lynn Orman_4/30/1997GIBSON CO�NTY DEPARTMENT � 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,
. , ..,;., '
LYNN ORMAN ELLIS
Died on O1/17/1997 at 9:56 PM
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 58 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Anoxia, Pulmonary Failure, 6 weeks.
Metastatic Renal Carcinoma (Stage IV) 2 years.
Nicotine Addiction
Signed by: Edward White, D.O.
410 North Main St.
Princeton IN
Place of burial I.O.O.F.
or removal:
Hazleton IN
Date of burial: Ol/21/1997
Funeral home: Colvin Funeral Home, Inc.
S E A L
425 N. Main St.
Princeton IN 47670
Signed by a'E/�'�/�������
Gibson County He th Commissioner
Oakland City, Indiana 04/28/97
Address Date
Recorded locally in Book No. 13 Page No. 30 Filed: Ol/22/1997