Death Certificate - Lockhart, Andy J_1/6/1987RECORD OF DEATH � - .
GIBSON COtiNTY DEPART1iENT OF HEALTH
PRINCE�TON, INDIAV A
P_i�IDY J.. LOCKHART �ed
THIS I5 TO CERTIFl, that our records show
March 31, 1986 a* 1:18 A.M. R.R.#2 Princeton, In.
month daS year hour of death street, hospital, mrat
Age;at Death 81 Se,� Male ��or Hlhite �iarital Statue Married _
S�� : write whether married or eingle
Pr,imary• cause of death e ven was Cardiopulmonary Arrest
Sigr:ed Uy Michael C. Kilpatrick, M.D.
physician or comner
Place of burial or remo��ai Walnut Hill
' ' name of cemetery
Date of buriaL April 2, 1986 Colvin
,� - F�neral Director
.�
ih�
� .
Princeton, In.
address
Ft. Branch, Zn.
aaamss
� �Princeton, In.
address
,:; - ..� .. � ��,-;�f%/�ta-n,��•Ra
�sr:AL ' s;�aea
' Gibson County Health . ' sioner
• ' '� Oakland City, In. 4/8/86
� ' address date
Recorded locall�� in book No. 11 Page No.B Filed: Aoril S, 1986