Death Certificate - Funkhouser, Veda_2/25/1982RF,COHD OF DEATH � �
�.:1 : �
GIBSON COUNTY DEP9RT➢1�NT OF HEALTH
�'PRINCETON,INDIANA .
THIS IS TO CERTIF'Y, that our records show' ��ti�rDt1 FIi;�7:H0U>i:B �
�- - died
, , . -;
��1�87_ �:2�P6": ' : r• '
at .,ib.�,Gen. Hosp. nrinceton, Ind.
month day year . hour of death -�° - .- street, hospital, rural
a 5 ` :;
Age at Death " Sex Pe' ^Color �'�h'' Marital Status P.i.
years
1'rimary c�usc of death given µ•as_ �erebra.l throrobosis
James r. Peck n^,�, Princeton,
Signed by------ ' Ind.
physicun or coroner nJdress
Place of burial or 1•emovaL_ Centerville Carmi, I11.
name of cemetery address
Date of burial_ 1�5�$z Campbell F.O� :a v.,; ..
sEa[,
Fl�neral Director
addrese
write whether married or sinqle
w���° ��z�
s�gnea__
Gibson County Health Commiasioner
�2k].a.nd Cit:>'. ?nc�. '=%2v%82
sddrnss �t�
Recorded locall,y in book No. 10
Page No. 5F Filed
1/7/8z
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