Death Certificate - Jones, Alvin R_10/31/1989,.
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GIBSO� COU�TY DEPARTMENT OF HEALTH
800 S. Prince
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY, our records show Alvin R Jones
Died on 08/27/1987 at 4:45p
Gibson General Hospital
1808 Sherman Drive Princeton Iti
Age at Death: 74 Sex: P1 Color: White harital Status: Married
Cause of death: Cardiopulmonary Arrest, Probable Sepsis, Fenile Dementia
Signed by: hichael Kilpatrick, `I.D.
1808 Sherman drive Princeton I\� 47670
Place of burial or removal: Walnut Hili
Date of burial: 08/31/1987
Funeral Home:
Ft. Branch I\ 47648
Stodghill
304 W. Locust
Ft. Branch IN 47648
SEAL -
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S i gned bY--------------------------
Gibson County Health Commissioner
Oakland City, Indiana 10/OS/89
address date
Recorded locally in book vo. 11 Page No. 45 Filed: OS/31/1987