Death Certificate - McClure, Andrew_12/8/1971RECORD OF DE aTH � �
GIBSO\ COU\TTY DEPARTD'fENT OF HEALTH
PRI\CETOY, IK�DIA\`A
THIS IS TO CERTIFY, that our records show ANDREW E._PiCCLURE dieci
Sept. 2 1971 atl2Noon Gib. Gen. Hosr. Princeton, ind.
month day }�ear hour of death •' street, hospital, rural
Age at Death �4 Ses Male Color Wh1.te MarTlP�
yea� write whether married or ;ingle
Primar}• cause of death gicen was Pulmon�rv Fdp,�g
--,,Signed by�__- - --William__E.�Ce11�, MT? _ Pr.inceton;—lnd. - —.�
-- � physician or coroner �' � � � address
Place of burial or removal IJaZ`t1pCk Pri*+�Ptoa,—Ind.
� name of cereterp address
Date of
F�neral Director
SE9L
�c�-°�61�� �
Gibson County Health Commissioner
Princeton, Ind. Q/9/�1
address , , Date
Recorded locally in book No. 8 Page No. ,'�6 Filed: ;l/7��1