Death Certificate - Lockhart, Andy J_4/10/1986RECORD OP DEATH � � �
GIBSON COUNTl DEP_�RT\I�\T OF HEALTH
. PRIVCETON, INDI�INA
ANDY J LOCKHART
D -lD
THIS IS TO CERTIFl, tl�at our records show ' �ieti
h!arch 31, 1986 at 1:18 A.bi. R.R.Y2 Princeton, In.
month daS Sear hour of death street, hospital, rural
81 blale White Married
A;e at Death Ser Color �Iarital Status
- Sears write whether married or eingle
Primar�- cause of death gicen was Cardiopulmonary Arrest
Signed b�- riichael C. Kiloatrick, i•i.D.
ph}•sician or coroner
Place of burial or removal j'7alnut Hi11
name of cemetery
Da'te of buriat april 2, 1986 Colvin
Flineral Director
Princeton, In.
address
Ft. Branch, In.
address
Princeton, In.
address
J�
:�l/ /� fif�!{.YYP� �, �•"'� � /tf,�f
SP �L Signe�l —
Gibson County Health missioner
Oakland Citv, In. �1/8/86
address date
;;ecorded localh• in bool; No. 11 Pave \To.B Filed: aDri1 8, 198G