Death Certificate - Kirby, Paul_11/28/1994GI650N�UMTY DEPARTMENT OF h�ALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
PAUL RIRBY
Died on 09/17/1993 at 9:45 A.M.
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 84 Years
Marital Status: yarried
Sex: M
Color: white
Cause of death: CA Lung with Metastasis, 6 months.
Pneumonia, 7 days.
Signed by: Bruce C. Brink,Jr.,DO
410 N.Diain
Princeton IN 47670
Place of burial Columbia Church Cemetery
or removal:
Date of burial:
Funeral home:
s � a L
Princeton IN 47670
09/?.0/1993
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by _
Gibson County Health Commissioner
Oakland Cit�, Indiana 11/28/94
Address Date
-'Recorded locally in I3ook No. 12 Page No. 74 Filed: 10/O1/1993