Death Certificate - Goodson, Bennie N_6/16/1987RECORD OF DEATH ' � • , EV,,. j ,-_ i;
GIBSO\ COtiNTI' DEPART�tEtiT OF HEALTH .
PRI\`CETO\. I�DIA\A
THIS IS TO CERTIFI'; that our records show• R��TT� F\ (;OOnSnN. died
- , ,_.
June 3. 1987 et 6•49 A M �bsOil �=Anoral Hncnif�al prinratnn Tn_
month day yeer hour o( death stree[, hospital, rural ' '
Age et Death R9 Sez 1ta1 a Color wh; tA !19arital Status ^7arri ad
yeers wrice whether martied or single
Cardiooulmonary Arrest, A S C V D
Primary cause of death gi�•en was
Signed b� M� chael C Yil�atricti �� n Princeton In
ph>'sicien or mroner - -. eddress
Place of burial or removat R1 � tha ['hana 1 R R Ft nr rh Tn
name of ceme[en' address
Daceotburia June 6, i987 Kendall Funeral Home Princeton, In.
Funersl Direc[or address
SEAL
Recorded locally in book \o. 11 Page \
s.�li��'-.'rci�°�fC ,.�i,�
Signed
Gibson County Heal:h Ca issioner
Oakland City, In. June 8, 19fi7
address date
39 r_,_,, June 8, 1987