Death Certificate - Lewis, Charles P_10/16/1996GIBSON C(�NTY DEPARTMENT � 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,
CHARLES P. LEWIS
Died on 08/13/1991 at 10:35pm
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 75 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Acute Myocardial Infarction, (20 minutes), -
Chronic Bronchitis, Hypoxia, Anemia, (4 years),
Diffuse Arteriosclerosis, Left Lung Mass,
Chronic Rheumatoid Arthritis
Signed by:
Place of burial
or removal:
Date of burial:
Funeral home:
S E A L
"Krishna Murthy,NID
105 N.2nd
Princeton IN 47670
Columbia Church Cemetery
Princeton IN•47670
08/17/1991
Kendall Funeral Home
520 S. Main St.
Princeton IN 47670
Signed by
J,�G,��i ��a��►,�
Gibson County Health Commissioner
Oakland City, Indiana 10/16/96
Address Date
Recorded locally in Book No. 12 Page No. 17 Filed: 08/15/1991