Death Certificate - Jones, Jesse_5/16/1975RECORD OF DEATH •
GIBSON COUNTY DEPARTDIE\�T OF HEALTH
PRINCETO�`, IIdDIs1N�1
n
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THIS IS TO CERTIFY, that our i•ecords sho�e JESSE JONES d��
Nov. 20. 1_g�$_at G1h. Gan. Anep._PT1riCPtori� Is�d
month da}� }•eaz hour of death street, hospital, rur3t
Ave at Deatli 8� Sex Aiale Color White ��qarital Status h�arriPri
}�ears write a-hether married or single
Primary cause of death given
Sig-ned by g• C. Brink, D.O. Princeton, Ind.
phpsician or coroner address
Place of burial or remo��al Walnut Hill Ft. BTanch, Ind.
name of cemetery address
Date of burial 11/2'i/58 Latb Fvneral�ome Ft. Branch, Ind.
Funeral Director address
SEAL
.! .� / �O� ' �
Gibson County Health Commissioner
. Princeton, Ind. 5/15/75
' � address date
Recorded locall}• in book No. 7 Page hTo.134 —Filed:__ 11/26/68