Death Certificate - Gordon, Aubrey Malcolm_4/1/2004GI�N COUNTY DEPARTMEN�F HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that accordiag to the recorda of the Gibaoa County Department of Health,
AIIBREY MALCOLM GORDON
Died oa 12-25-2003 at 5:13PM
Gibson General Hospital
1BO8 Sherman Drive
PrincetOn IN 47670
Age at death . 86 Years Sex: M
Marital Status: Married Color: White
Cause of death: Cerebrevascular accident
Maaaer of death: Natural
Signed by: Chester Burkett, M.D.
P.O. HoX 550
Poseyville T_N 47633 �
Place of burial Owensville Cemecery
or removal:
Owensville IN 47665
Date of burial: 12-29-2003
Funeral home: Holders Fivzeral Home
P.O. Box 518
Owensville IN 47665
Signed by
S E A L
G
,,�.�- � �-�'�if����
County Health Commissioner
Princeton, Indiana 12/29/03
Address Date
Recorded locally in Book No. 14 Page No. 80 Filed: 12-29-2003