Death Certificate - McDonald, John_1/28/2002� . �
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GIB� COUNTY DEPARTMENT � HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
�'THIS IS TO CHRTZFY
that according to the records of the Gibaon County Departmeat of Health,
JOHN LSONARD MCDONALD
Died oa 12/04/2001 at 8:04AM
Owensville Convalescent Center
Hwy 165
Owensville IN 47665
Age at death . 85 Years Sex: M
Marital Status: Widow Color: White
Cause of death: Atherosclerotic Heart Disease
Signed by: Chester Burkett, M.D.
P.O. Box 550
Poseyville IN 47633
Place of burial Oak Grove
or removal:
Owensville IN 47665
Date of burial: 12/07/2001
Funeral home: Holders Funeral Home of
Gibson County, Inc.
P.O. BOx 519
Owensville IN 47665
Signed by � � �``��" "`�
Gibson County xealth Commissioner
S E A L
Recorded locally in Book No. 14
Princeton, Indiana 12/06/O1
Address Date
Page No. 26 Filed: 12/06/2001