Death Certificate - Lewis, Charles P_8/30/1996GIBSON C�JNTY DEPARTMENT OF I�ALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS ZS '!O CERTIl2
tbat accordinq to the records of the Gibson County Department of Health,
CHARLES P. LEWIS
Disd oe 08/13/1991 at 10:35pm
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
�qe at daath . 75 Years
14�rital Status: Married
Sex: M
Color: White
Causa of death: Acute Myocardial Infarction, (20 minutes),
Chronic Bronchitis, Hypoxia, Anemia, (4 years),
Diffuse Arteriosclerosis, Left Lung Mass,
Chronic Rheumatoid Arthritis
Signed by: Krishna Murthy,MD
105 N.2nd
Princeton ZN 47670
Place of burial Columbia Church Cemetery
or re�oval: 1
Princeton IN 47670
Date of burial:
Funeral ho�e:
S E A L
08/17/1991
Kendall Funeral'-Home � ..
520 S. Main St.
Princeton IN 47670
l,���� �,ti3
Signed by
Gibson County Health Commissioner
Oakland City, Indiana 08/29/96
Address Date
Recorded locally in Book No. 12 Page No. 17 Filed: 08/15/1991