Death Certificate - Montgomery, Kenneth C_2/1/1990� RECORD OF I>EATH �
� �. .
GIBSON COUNT�' llEPARTIvtENT OF HEALTH
PRINCETON, [VUTANA � - -
THIS IS TO CERTIFY, that our records show KENNETH` C MONTGOMERY died
Dec. 23, 1987 e� 3:00 P.M. Apprex. R.R.� 1 Francisco, In.
month day yeer hour of death svee[, hospital, rural
Age at Death � 1 Sex Male Color!'`nite `qarital Stacus Married
Ye� write w�hether merried or single
Primary cause of deach given was Acute Myocardial Infarction. ( suddeti
Ischemic he�.rt disease and Hypertension ( vears)
Signedby Richard D. Hickrod, Coronex Princeton, In.
physicien or coroner eddress
Placeofburialorremoval Heights Chapel Cemetery Princeton, In.
name of ceme[ery eddress
DateofburiaLnecember 27 1987 Colv�r Funeral Home, Tnc. Prin�Atnn� rn_
. � Funewl D'vecwr address
SEAI.
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Signe � 6�/ . . �7 �/'. �
Gibson County Health ��om sioner '
Oakland City, In. December 31, 1987
uddress date
Recorded locally in book No. 11 Page No.='2 Filed: December 31 1987