Death Certificate - Gardner, J Carl Sr_11/26/1984NECORD OF DEATH �
�
GIBSON COUNTY DEPAR'I'MENT OF HEALTH
PRINCEPON. INDIANA
THIS IS TO CPRTIFY, that oUr records show .TAMFS ['aRr QARiINFR ,_,cR ��
8/30/84 ar 6PM Owensville Convalescent Center Owensville, Ind.
=,
month day year hqu of death street, hospital, rvral
Age at Death 80 Sex Male ColorPlhite M�tal Status Married
yeara write whether married or eingle
Primary cause of death given was_ Probable
Metastatic
Signed by William Gentry, 2•iD
physician or comner
Place of burial or removal Owensville
name of cemetery
Date of buriai 9/2/�84 Holder F
Fwneral Director
SEAL
sis
static carcinoma
Pcszyville, Ind.
address
Owensville, Ind.
address
H. Owensville, Ind.
addresa
Lri��aiizi��,�,b .
signFa (
Gibson Connty Health Commisaioner
Oakland City, Ind. 9/13/84
addxesa date
Recorded ]ocally in bn�U No. 1� Page No. 12 8 �1�: 9/ 10 / 8 4