Death Certificate - McConnell, Simpson B_9/9/1982RECURD OF DEATH
GIBSON COUNTY DEP.�ItTMENT OF H�A�.TH
' PRINCETON,INDIANA
THIS IS TO CEBTIFI', that our recorda
_'(/17/�2 at 10:
month day year hour of di
SIMPSON B. McCONNELL
Gib. Gen.Ho
. etreet,
Princeton, Ind.
mml
Age at Desth 69 Sex M• Color �• M�}�� Statua Married
yeare , write whether married or eingle
Primary cause of death given was Ventricular fibrillation, sudden
Signed by W; 1� ; am Lh�P� �� n^ n ���-�qn. Tnd.
physicinn or rnroner . add��esn
Place of buriai or removal__ Walnut Hill Petersi�urg, Ind.
mme of cemetery ' addre.ss
Date of buriai !�� i�82 Kendall Princeton, Ind.
3EAL �
u�rector
,f,u ;.• ��=-��
k•°,,'�,�j ':
�,...� i;..,:. e�.:5-.
�t+�'i (
nddreae
W��� ���
•;rSignea ��
� �+� Glbeon County Health Commisaioner
�°'�' Oakland Ci �y, Ind. 9/1/82
i : addreen
Recorded locally in'bonk No._ 10 . Page No�•. 71 .�led: i'�28�82
:v`�YrCtt�te_ri. . ?.! =•i.
' � �iU�;QU.'.
date
�
�
r 1,
L_.,i