Death Certificate - Key, John L Sr_5/6/1985ECORD OP DEATH � •
GIBSO\s COUN'I'1' DEPARTIfENT
PRINCETON, INDI?.NA
o ��
OF HEALTA
'HIS IS TO GERTIFl, tliat our records show JOHN L. KEY SR. died
5/1/.S�l at 8•S5Abi Gib Gen Hosp. Princeton, Znd.._
month daY ➢ear houz of death , street,_hosp�tal, rural
�ge cd Deatli 96 Sex Male Color White 7�tarital
years .
Widowed
write whether married or �nBle
'rimary c:�use of death given �va�
Cardiac arrest & respiratory arrest
Yong Cho, M.D. Princeton, Ind.
ilgL2C'b;,-- . address
- physician or coroner .
Oan Hill Patoka, Ind. -
']acc of burial or
Date of
SF aL
5/d/84,
name of �:einetery
Colvin
FWneral Director
address
Princeton, Ind.
address
. ����i��e,�11
Signe+' U
Gibson County Health Commissuaer
� Oakland City, Ind: 5/11/84 .
address ��
120 5/11/84
Recocded locally in book No. 10 page No. ��ed:
KF.CORD OF DEATH � � �
GIBSON COUN1'Y DEPARTbiENT OF HEALTH
� PRINCETON, INDIaNA � �
CIIIS IS TO CERTIFY,.thAt our recorda show FnyF SFnT_Q\I xFL died
Jan 2l�, 197� 8t 3s'iOAM Gib_. Gen. Hosp. Princeton Znd.
month. day year : �� hour of-death �. street, hospital, rural .. , .
:1ge at Death 7$ Sax Female Color White- Ntarital Status !•tarrled �-
.y�e�e " . . . � � .. � � . . , . - � . '..- write -whetheh-married� or single
- . � i: �.. � . . ,�f ..._ � _� .
t'rimary cause of death'giyen wa�- Chemical pneumonia� secon8ary to smok�e, inhalation
-. . . . ,. ,�,
... , � . . . ,, . , . , , ,
•�• _
. . , . . .. . .'_.: , , • :.
;igned hy_ ._�amt�ra F_ Peak. M n" D Lna�i-tGri-r-_I'q$.•—_—_,��_—.- �--'--- .
- physician or coroner ' � � address � . ' �
'luce of burial or removal Patoka Patoka Idd.
. name of cemetery• , - � . � address . .
late of burial��2F��l���F 6�ryi_��_��_ Princeton Znd.
' flinerai-B:recto:-' - _ . - mddress� -- —_ .
SEAL
�7'' �^��
�f�� � 'n�
Gibson County� Health Commissioner
Princeton, Inci. 1/Zg��4
, ' addzess , ��
.� '` �'
:ecm•ded locally m book No. 8 Page No. 90 Filed: 1�2E/74