Death Certificate - McIntosh, Arlie Wayne_11/17/1993GIBSON COUN� DEPAF2TMENT �T HEALTH
�- BOU S. Prince St. �
/ .Princeton, Indiana 47G70
812-385-3831
R E C O RD O F D E A T H
711IS IS 7'0 CIItTIFY ''
that according to the records of the Gibsan County Department of dealth,
ARLIE WAYNfi MCINTOSN
Died on 11/02/1993 at 4:15am
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 83 Years
Marital Status: tlarried
Sez: M
Color: White
Cause of death: Sepsis, Pulmonary Edema (36 hours),
Acute Gangreneous Cholecystitis with Abscess (72 hours),
Cholelithiasis, Adenoma-Right Adrenal Gland,
Diverticuloses of Sigmoid Colon
Si�ed by:
m
Krishna Murthy,t�
105 N.2nd
Princeton IN 47670
Place.of burial Owensville Cemetery
or removal:
Owensville IN 47665
Date of burial: 11/05/1993
F�neral home
Holders Funeral Home of
Gibson County, Inc.
P.O. Box 518
Owensville IN 47665
a
S E A L
Signed by """'r/ `�'�T�G. ^`�aG'f�i'd�
Gibson County Healt ommissioner
Oakland City, Indiana 11/04/93
.; Addrass. � llate
Recorded locally in Book No. 12 Page No. 77 Filed: 11/03/1993
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