Death Certificate - Foley, Kenneth David_5/16/1985RECORD OF DEATH �
�
GIBSON COUNTY DEPART�fENT OF HEALTH
PRI\CETOV. I\DIA\A
THIS IS TO CERTIF1', that our records shou• KENNETH DAVID FOLEY
May 16, 1985 9:15 P.M. Gibson General Hospital Princeton, In.
+�' at
month dap year hour of death street, hospital. rural
Age at Death 7_9 Sex Aiale "' ColorWhite �4arital Status Married
years w-rite u�hether married or single
Primary cause of death given was Septic irreversible shock Cardio
respiratory failure, Cardiac arrythmia.
Signedby Arun C...KUmar, M.D. Princeton, In.
physician or coroner address
Place of burial or removal Maple Hill Princeton, In.
neme of cemeterv address
Daceofbur;al May 19, 1985 Colvin Funeral Home, Inc. Princeton, In.
Funeral Direc[or address
SEAL
Signed °�_`/������'b
Gibson Counte Health Co s�ioner
Oakland City, In. March 10, 1988
aaa�ess aace
Recorded localh� in book No. 1� Page No.14 6 Filed: May 17 , 19 8 5