Death Certificate - Hollis, John F_2/22/1986►�ECOau or nEa� � �
•GIBSON COtiNTY D�PART�IENT OF HEALTH
PRIVCETON, �ItiDIAA'?.
JOHN F HOLLIS
THIS IS TO CERTIFY, that our records show ' died
1/18/85 _ar 11:94P�i Gib. Gen. Hosp. Princeton, Ind.
month day year hour of death . � atreet, hospital, rural .
80 M. Wh. blarried
Age at Dcith —Se�c Color llarital Status
yea� write a�hether married or eingle
Cerebral Anoxia
Primar�• cause of death e ven wa�
Signed b}• E• C. Brink, Jr. , DO
phpsician or coroner
Walnut Hill
Place of burial or removaL
L'n.T2 of cer..e[ery
Dateofburial 1/21./85 Stodghill
F�netal D'uector
Princeton, Znd. �
' address
Ft. Branch, Ind.
ad�es;
Ft. Branch, Ind.
address
(�J��� �.° �.�,v -
SEaL : Signe�
� • . Gibson �County Health Commissioaer
- Oakland Citv, Ind. 2/4/85
. ' address da[e
10 137 2/4/85
Recorded locally in book No. page No. �1ed:
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