Death Certificate - McKannan, Willis Cullen_11/12/1992 (2)�--- - -
RECORD OF DEATH
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GIBSON COUNTY DEPARTA9E\'T OF HEALTH
Pai�c�.TO�, nnt,��a
THIS FS TO CERTIFY, chat our records sho«•
4dILLIS CULLEN McKANNAi� died
October 31, 1991 a 8:SSAM,
Gibson General Hospital, Princeton, I?�
month day year hour of dea[h svee[, hospi[al, rural
gl Male Color ��te �4aritalSiams Married
Age at Deaih SQ" write whether memed or single
years
Primary cause of dent.h ;;i��en wns
Coma, (10/28/91), Pneumonia (10/30/91),
Diabetis Niellitus
?iassan Ra es M.D. Princeton, In
$lgn0d by address
physicien or coroner
Patoka, IN
PlaceofburialorremovaL Oak Hi11 CemeterV address
name of cemeten�
Dateofburia 11/2/1991, Colvin Funeral Home, Inc. Princeton, IN
Funerel D'vector address
SEAI.
J 1 t i�,�'� ; � . .'
Signe
%ftf�,•!;-c,:,,i:.,%c;^> .:'.::a,f��'!;{r.
Gibson County Health Com�nissioner
�-nd c=t�, 1N November 6. 1991
address
date
Recorded locally in book i�o. 12 Page \o. Z 3 Fil
e
November 6, 1991