Death Certificate - Johnson, Russell A_1/30/1991i•-�
r �; /.� �� �-�f ���?
GIBSON COUNTY DEPARTMENT OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831 //,/��
1/ / l�YI �G �'�
� ii� 3� i9�;
R�CG`:E2:D OF DEATH �Gyyrj �
TAIS IS TO CERTIFY
that according to the records oF the GiUson County Department of Health,
RUSSELL ARNOLD JOHNSON
Died on O1/16/1991 at 5:13pm
- Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death: 80 Sex: M Color: H'I�ite Marital Status: Married
Cause of death: Pneumonia, Parkinson's Disease
Signed by: Yong Cho, MD
1808 Sherman Drive
Prirtceton IN 47670
Place of burial Memorial Park
or removal:
1+incennes IN 47591
Date of burial: O1/19/1991
Funeral home:
S E A L
Colvin Funeral Home, Inc.
425 N. ilain St.
Princeton IN 47670
�J�i
rf�.-��� �r���'
Signed by ---- ------- — – --------
-Vil:50i1 COUilt'y' Ht'alih �,O(fililiSSiOflci
Oakland Citv, Indiana O1/24/91
Address Date
Recorded locally in Book No. 12 Page No. 2 Filed: O1/24/1991