Death Certificate - McCoy, Paul Louis Sr_11/14/1985IZ�COItll OP llEA17l
�s-59��
GIPSON COUNTY lllsl'AI2TMIsNT OP' HLALTII
. PRINCliTUN, INDiANA
THIS IS TO CLIt'CII�Y, that our records s}�o�y PAUL LCUI�� McCOY,SR. �����
�/ 23/ A5 at 3:30 A.M. 330 S. Seminary St. Princeton, In.
month duy yenr hour of denth sLreet, hoepital, rural
Age at DeaLli 73 Sex �1� Color �m��te Marital Status M`-�rrled
ycars writc wheLhcr marricd or einglc
Primaty cause of death given was_. �����' �On�estion & Ecletna (Several Days)
Probable Pneurronia
SlgnCd Uy_j�Cja-�d_p.,—j:11CkYCY1—_r2lYnnnr Princeton In.
physicinn or coroner nddresa
Pl1ce of burial or removal_aaeiLStx�ro_Nk�.moriaLC��ns Owensboro, Ky
namr, oY' cemetcry address
Date of burial 1/ z�85 Kendall Princeton, In.
, Flutenl Director
, ..; :. ,
i �.
SPAL . � -.
addresa
/ ��f/ �j%�
Signed f�"�"/ rpyy��°'"�`�:ksl%
�! Gibson County Hen1tL Co iasioner
Oakland City, In.
addresa
1;6 1/25/85
Recorded locally in book No. 10 Page No. Filed:
- - --"—�-- - RECORDED THIS—.L—DAY +JF � , 19�AT ���� M.
' /�'�""'�RECO[tDER GIDSON CQUNTY, INDIANA
�
i�
dute
•
`J