Death Certificate - Fowler, Carl W_8/24/1988RECORD OF DEATH �
•
GIBSON COUNTY DEPARTMENT OF HEALTH
PRI\CETON, INDIANA
'I'HIS IS TO CERTIFY, that our records show CARL W. FOWLER died
Aucrust 9, 1988 er12:15 PM Good Samartian Nursinq Home Oakland City, IN
month dey yeer hour of deeth sveeu hospital, rurel
Age at Death 80 Sex t�lale Color �ahite nqarital Status Married
years ' � write whether married or single �
Primary cause of deach given wa� Congestive Heart Failure
Pulmonary Emphysema
Signedby PTm. E. Dye M:D. 912 Main St., Oakland City, IN _
physician or coroner eddress
Placeofburialorremoval Montqomery Cemetery Oakland City, IN
name of cemetery eddress
Dateofburiel Auqust 12, 1988 Lamb—Basham t4emorial Chapel Oakland Citv, IN
Funerel D'vecmr address
SEAL ' Signed "' ��������
— Gibson County Health Co issioner
Oakland City, IN Aucrust 15, 1988
eddress date
Recorded locally in book No. 11 Page No. 69 Filed: Auqust 15 , 1988