Death Certificate - Grubb, Elmer R_5/22/1987ItGCORD OP D��TIi � �, ,� . '
" ' __ GIBSON_ CO.liNTy_ D�PART?1SI:NT .OF .IiLALTH � �
PR[NCETON, INDIANA -� ��- �
THIS 1S TO C�RTIFI', that our records show ELh1ER R. GRUBB
�_
Vov. 3, 19g6 2:45 A.M. Gibsoti General Hos ���eC�
month aa at pital Princeton, In,
Y' yeaz hour of death
Age 1t Death 71 street, hospital, rvral
�—Sex Male White
years ---�Co��1• n4arital Status Married -
Pl'itnaiy cause of death aivett v:1s_ Acute Mv„ �te Rhether married or siugjo
^cardial Infarction �
Signed b}- Arun C. Kumar 61. D.
physician or coroner
Place of burial m• remova� I.�.O.F.
name of cemetery
Date of burial No�'ember 5, 19 g(
Funeral Director
SPAL
Colvin
Princeton, jn,
address
Francisco, In,
address
Princeton, In.
address
Signe ��iJ� ,cz��ys
Gibson Co�n ���`E�G} — ____
ty flealth Comro(��o�er
f7
Oakland Cit�, In. November 7, 1986
address
£.ecorded locally in bool; No, 11 dn�e
- nage A'o. 2� F��e�. November 7, 1986
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