Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Death Certificate - Johnson, Alfred E_4/8/1968
RECORD, �OF.DEaTH ' .' , .- . .. • . , �, , �. GIBSON: COUNTT DT'P9RT�IENT OE HE9LTH. • . . ' . � .. . �� .' • ' � .-'PRI\CETON, INDIA\�1 . : ' � - � . � • - . . . , . . _ . .. . . . .. �' � , -..- - �.. . . : . . '. ' THIS.IS TO CERTIFl, that'our records show ' ALFAFD E. JOHNSON: -� _ diea _ ... . - - ..� . �, . December 23 , 1964 at l'Ls50-AM Gib. Gen. Hos`p. Princeton,Znd . ' � " month - . .day ' � ' �� year -; � . . � hour of death �,, - ' - strnet, -hospital, rurdl. - " White :Widowed' ' � Age at Death "$1 Sex r!�ale __Coloi• - , - . " . years . - � . - ' - � , ' . - n-rite �r}iethec married. or. single + � � - � Primary cause of; death given «-as Congestive�'heart fatluTe . : ; Signed bJ' _' Vi rgfl -T•Tr.(lart}L��4..4: P�lnceton. IIId. . _.- __- , - — _., - . -�phcsician-or;coroner._,,. - , - T-�'--"'� -� address"=' ' � � � �� -� � �� Piace of burial or removal HigHland Memorial Cemetery, � M,t. Carmel, Ill. '.' ' � � - � .- name of cemeteg� � � - , � • - address. . � '. � •1`L-24=64 Colviri & SonrMortuary� Prinoeton, Ind. � • Date of>.6uria * " - : . . � . . Funeral� Director " . � . : - . �� re � � �r�,�•7� , , _ . . _ . . . .� .. � i � �� �. !Ri✓ -.. . . . -. SEAL . . � : � ... Signed— .. ; - . � , � - � ' - . . - � Gibson .County .Health �Commissioner � . . .. ' , • ' ; • ppincPt^!',� TnAlana ' 4_R_f�R . . -' ' . - . . . . . . . " � , • • addre�s' . . . . . . . � ' . _ ... Date : Recorded locall}= in book No: '��5� ' Page ?�To.' 62 Filed: 12-24-64 _ ,.