Death Certificate - Kirby, Paul_3/15/1999GIBSON CC'�..TNTY DEPARTMENT:F HEALTH
- 800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibaon County Department of Health,
PAUL RIRSY
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: Married
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.Main
Princeton IN 47670
Place of burial Columbia Church Cemetery
or removal:
Princeton IN 47670
Date of burial: 09/20/1993
Funeral home:
S E A L
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by ���/'�'�"���/��J
Gibson County Health ommissioner
Oakland City, Indiana 03/02/99
Address Date
Recorded locally in Book No. 12 Page No. 74 Filed: 10/O1/1993