Death Certificate - Jones, Wilmer Lawrence_2/21/1988RECORD OF DEATH
u
•
GIBSOA' COUNTY DEPART�9ENT OF HEALTH
PRINCETO\. INpIANA
THIS IS TO CERTIFY, thai our records
WILMER LAPiRETICE JONES
-,-- -
8/25/66 ai 1�1n AM Gibson General Hosnital Princeton IN
month day year hour of deaih � street, hospital, rural
Age at Death 34 Sex Male Color k'hite . t�larital Status Married
years w�rite whether merried or single
Primary cause of death given �t�as HYPostatic Pneumonia and Uremia
Signed by vi ra; 1 Mr('artv MD Princeton IN
physician or coroner address
Place o( burial or removaL Patoka Cemetery Patoka . 7N
name of cemetery• � address
Dateofburial 8�28�66 CO1Vin & SOn MOrtnarv Prinratnn, It�i
Funeral Dvector � eddress
SEAL
Signed "�'�/ ����rlrs,�%
Cibson County Health C missioner
Oakland Cit_y, IN 2-19-f3g
aaares:
Recorded locally in book \'o. � Page No. 1�'-$ Filed: SeAtember 1, 1966
aa�e