Death Certificate - Heacock, Allen D_9/1/1999eoo —" -- l i'l�iv � uF HEALTIj
S• Prince St.
� Princeton, Indiana 4�0
812'385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that.according to the records
of the Gibson County Depar�ent of Health
ALLEN D. HEACOCK
Died on 08/24/1999 at 9:47pm
Good Samaritan Nursing Home
210 Gibson
Oaklanci City jN 47660
Age at death . 83 Years
Marital Status: Married
Cause of death:
Signed by:
Place of burial
or removal:
Date of burial:
Sex; ty
Color; White
Lung Cancer (non-small cell) months,
Chronic Tobacco Abuse,
Type II
Terry Gehlhausen, DO
H�'Y 64 West
Oakland City jN 47660
Augusta Cemetery
Augusta IN
OS/27/1999
Funeral home:
Lamb-Basham Memorial Chapel
226 E. Washington
Oakland City IN 47660
Signed bY :n%��!;''�'rt?�' ieal�
Gih�� ; `�unt
S E A L Y Health Commissioner
Recorded locally in Book No, 13
Oakland Cit , Indiana
Address 08/30/9g
Date
Page No. 100 Filed: 08/30/1999