The URL can be used to link to this page

Death Certificate - Jackson, Pearl_2/27/1981,: , a:� , . ,. , � . ' . . . . ' RI:CORll OP DLA'P[I GIBSON COUNTY DEPARTM�NT OI' HLALTH � � . , ' , PRINCETON, INDIANA � � � THIS IS TO CERTIFY, that our records show PEAI3y—JACKSON died , ��/�i at�:45AM �ib, �renoHosp. Princeton,Ind. - month : day year � hour of death street, ho3pital, rural � Age at Dcath 81 Sex Fe • Color—wh • Maritnl Status_ �''j • ' ' ' yenre ,', � � � , write whether mn�zied or ninglc � ; � Primary cause of death given was Cerebral anoxia _ _ i � . � SigT�ed by— Bruce C. Brink, DO Princeton, Ind. `. ; ' , phyeicion or caronor �. . ' nddrese �• " .�� Pl�ce of burinl or removal /�1�''W3�nut�H�.°ll�" Ft. BranCh, Ind. '' � � ' ' . �� nnin �;o� •c��tery � � � � � � addrese , ' ' Dnte of burinl_1�17/�1 ;.Stodghill Ft. Eranch, Ind. . i � FlroeraP�DimctoT� tlj•j nddrese � I � ��*a .1tLtl.'�Cl � Q . rL � . . � �AOTiGUA � ��iLi'LZ � t !�.Zi ' � SEAL . Sigrted ^ " = ' � ' -Gibson County HenlUh Comm ssioner � � � � Oak].and CitY, Ind. 2/4/81 � " ' uddress . dnlo � 1 2�4�81 � Recorded locally in t>ook No. 10 page No. 3 r'iled: ' • , i � il:. • �, � I 'I N 0 . ,, � „ ♦ • �� },„ �� h