Death Certificate - Nash, Maurice_6/18/1981RECORD OF DEATH �
�
GIBSON COUNTY DEPART\IENT OR HEALTH
PRIhCETON,INDIANA �
THIS IS TO CEATIFY, that our records sho�v MAiiF�i(''F. w. NASI-i died
5�z5�81 at 10:40PM __�z1h_. (:an.Hn� Princetoh, Tnd.
� moath dap year hour of death street, hospital, rural -'
Age at Death ?7 Se� M' Color wh • Marital Status 'M•
yeaxa «-rite whether niarried or single
Primazy cause of death given «<zs Pulmonary arrest and respiratory failure
Terminal Bronchogenic carcinoma
Signed by N. Anadkat, NID Mt. Czrmel, Ill.
physician or coroner , address
Place of burial or remova
Oak Hi11
name of cemetery
Patoka, Ind.
address
Date of burial 5/Z8/81 Colvi n prineeten, �^a
F4meral Director address
– SEAL
VV �Z � � � � �
$ign
fa}psyn�County Health Commis ner
OaklandCit.y, Ind. 6/8/81
addreas date
Recorded locally in book No. 10—Page ATO. 41 Ftiled: 6�8�81