Death Certificate - Key, Faye Seaton_5/6/1985ECORD OF DEATH . �
�• O ��
GIBS0IT COtiNTY DEPART�SENT OF HEALTH
PRINCETON, INDI?.NA
'HIS IS TO CERTIFl, tliat our records show JOHN L. KEY SR. died
5/1/.Sd at S•SSAM Gib. Gen. Hosp. Princeton, Ind..
month day year houz of death , street, hospital, rural
96 �e,� MaTe Color �'�hite ,�q�tal Status Widowed
�ge at D�utli wrice whether married or �agle
years .
• Cardiac arrest & respiratory arrest
7ima�y cause of death given waZ
Yong Cho, M.D. Princeton, Ind. .
;ig!s2d'b;,-- address
� � physician or coroner .
Oari Hill Patoka, Ind_ ---
?I1ce of burial or remoaai — 'sddress
name of �:einetery ' . �
Date of burial 5�'��8�• __Colvin Princeton, Ind.
Flineral Direc!or . ��5'
$F,AL
. ����i��e,�J�
� s;gned !/
Gibson County Health Comaussioner
� Oakland City, Ind: 5/11/84 .
� address ��
Pa e No. 120 5/11/84
Recoc•decl locallg in book A�o. 10 g Ftiled:
RECOItll OF DEATH - �
GIBSON COUNTI DEPARTIIIENT OF HEALTH
' PR[NCETON,INDIANA '��
CIi1S IS'CO CERTIFY,.that our records show FnVF SF.nTp\1 x.F,�_ died
Jan 21�, 197� at 3s'iOAM Gib. Gen. Hosp. Princeton Ind
month. day 'year ': � hour of�drath � �street, hospital, rural . . ,
:1ge at Death 75 `� sex Female Color White• . i�r8rital Status ' Tdarried
:years. - _ . . : . � � � write.whethes�married�or single
. . : . ..; i � .
Primary cause of�death giyen•wa�• Chemical nneumonia� secondary to smok'e�.inhalation
• �� ' - : - - �• : . - .. .
;igned by_ '__.7amr�e F_ Pentr �Ti_:. � � D sn^$.tpyyr_-Z�nd-.�__y____�_,._� � � '
. - -� physician or coroner' � � address ' -� ' �' � �
'luce of burial or removal Patoka Patoka Idd,
name ot cemetery , � ' . - address . . �
)ate of burial_��2(�/��1� r• �oq�� -,,�__��r Princeton,_Ind.
' Fiinera!- B:ret.o: - ' . ' - - - mdi^ess. .. - —_ . . - - .
� ,/ n/ � .
( Y ( � .
SEAL . _ J'��`[�E•�t�"�
Signed
� • Gibson County� Health Commissioner �
, `.
Princeton, Ind. 1/Zg��ly
-.' ' address . date
:ecorded Iocalty in` book No. $ � Page No. 90 Filed: l�ZP/74