Death Certificate - Marshall, Cecil Perry_9/1/1998RECORD OF DEATH •
_ •
GIBSON COUNTY DEPARTMENT OF HEALTH '
PRINCETON, INp�p,yp
THIS IS TO CERTIFY, that our records show CECIL PERRY M.qggHALL
M� „�. , � , ,,,,, died
momh aay yPB� e�'ly nr1 pwensville Convalescent Center Owensville, Indiana
hour of death
Age at Death A!1 stree�. hospital, rvral
Se�Ma1P Color White Marital Status Married
yeers
write whether martied or aingle
Primarv cause of death �iven wa� CVA, Cardia Respiratory Arrest Cerebral Anoxia, and COPD
Signed
physician or comner
address
Place of burial or removal_ Wal.,��r u� t t emeterv Ft Branch Indiana
na e( e et rv
address
Date of burial �t��,.ti , o , ��� .._ . . ... _ _
Princeton, Indiana
Funeral Dircrtor
SEAL
Zndiana
addrcsc
�
Signe � � � �° _
Cibson County Hea�lth Cop� issioner
Oakland City, Indiana March 29,
1996
address
Recorded locally in book No_ t� Page No 7 Filed� March 29, 1996
F
�
.:�
�
�
�� R e��
SEP 01 1998
�,_.-.�,,.,�,�J-��, .,T�