Death Certificate - Morris, Samuel Luther_4/23/1990G I B S O N
� i
COUNTY DEPARTMENT
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
R E C O R D O F D E A T H
OF HEALTH
THIS IS TO CERTIFY
-—that-acccrdi�g to—the records, of the Gibson County Department of Health,
SAMUEL LUTHER MORRIS
Died on 03/31/1990 at 6:55 P.Pi.
Gibson General Hospital
1808 Sherman Dr.
Princeton IN 47670
Age at death: 81 Sex: M Color: White Marital Status: Married
Cause of death: Acute Myocardial Infarction; (sudden)
Severe Multivessel Coronary Artery Disease, (years)
Signed by: William R. Wells, MD
510 N.Main St.
Princeton IN 47670
Place of burial Columbia Churc}iiCemetery :
or removal: (White Church)_� .,
Princeton IN.47670 '• �
$ ,�,. � _ .
.., w:r.,
Date of burial: 04/03/1990 ;•,� �
.,
F�neral home: , �"�
Colvin Funeral�Home, Inc�.
425 N. Main St. =�
Princeton IN 47670
S E A L
Signed by Jcu'cF-/_`�+n'►��,/y,�I
Gibson County Healt ommissioner
Oakland Citv Indiana 04/06/90
Address Date
1
,k-
i
I
1
i
I
�
i
�
.?
�
i
i
�
Recorded locally in Sook No. 11 Page No. 113 Filed: 04/06/1990
�