Death Certificate - Garrison, Richard Thomas_4/25/1994RECORD OF DEATH
GIBSO\ COU\Tl' DEPAR'I'�iE\'T OF HEALTH
PRIVCETON. IVDIA\A
THIS IS TO CERTIFt', that our records sho�a RICHARD THOMAS GARRISON died
�ruary 19 1994 ac �5•35 P M Gibson General Hosn3tal Princeton IN
monch dac cear hour o( death street, hospical. rurel
Age at Death 70 Ses Male Color White \larital Stamc Never Married
years w�rite x�hether married or sin�le
Primar� cause of death gi��en �vas Respiratorv Failure, 2 davs End StaQe Cor—Pulmonale, vears.
�onic Obstructive Pulmonary Diseases. yrs. ConQestive Heart Failure,
Gastro Intestinal Bleeding
Signed by Rameshbhai P. Patel. M.D. 105 N. 2nd Ave. Princeton, IN
physician or cornner address
Place of burial or removal Montgomery Oakland City, IN
name oC cemeten' address
Dateo(buria� Februarv 25, 1994 Lamb-Basham Memorial Chanel Oakland City. IN
F'unerel Direcmr address
� �
SEAI.
�
Recorded locally in book No 12 Page N
�
Signed //I/��1G. °�1L���
Gibson Counn� Health Co issioner
�akland City. IN April 25. 1994
address date
February 28, 1994