Death Certificate - Meadows, Randall Alfred_2/5/2001GIBSON�UNTY DEPARTMEI�OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibsoa County Department of Health,
RANDALL ALFRED MEADOWS
Died on O1/06/2001 at 11:OOPM
Residence
306 North Second Street
Owensville IN 47665
Age at death . 80 Years Sex: M
Marital Status: Married Color: White
Cause of death: Acute Myocardial Infarction
Signed by:
Chester Burkett, M.D.
P.O. Box 550
Poseyville IN 47633
Place of burial Owensville Cemetery
or removal:
Owensville IN 47665
Date of burial: O1/10/2001
Funeral home:
�-i�r��n
Holders Funeral Home of
Gibscr. County, Inc.
P.O. Box 518
Owensville IN 47665
�.� �. ����
Signed by
Gibson County Health Commissioner
Princeton, Indiana O1/10/O1
Address Date
Recorded locally in Book No. 14 Page No. 1 Filed: O1/10/2001