Death Certificate - Osborne, James W_10/1/1986RECORll OP' DEr1TH
GIP�ON COtiNTY lll;,f..Ai{T14L;i�IT OP HPAi.T�I
1'12INC7;1'ON, INDIf.NA
TI31S IS TO CEATII'].`, that our i•ecords show 7�ES__[9_ _QSI34RNF ��ie�
May 29, 1972 ;it 5:00 P.b1. 106 S. JePf:erson St. Princeton, In.
monCh day year hour nf death street, hospit2l, rural '
Age at Death 63 S�` Male Color White �.�rital Status Marrie�i !,
years . write whether married or � single
Pi•imai•y cause of death given �v:is_ Ventricular Fibri.11ation (sudden) , F�rteriosclerot:�
Fly�ertensivc Cardio Vascular Disease (].2 years), Repeated Minute Cerebral
—Hemo-r-r-hacre .
Signed by R. S. Mc�lroy, M.D. _
physician or coroner
Placc of burial or removal H'1rnock
namc of cemetcry
Date of buri�l June l, 1972 Colvin and Sc�n
__ Puneral Director
SPAI.
Princeton,
address
Princeton,
address
Princeton,
address
��
In.
In.
.Sl$'I1Cf1 6i'!O ✓"'/C/`. "/�i��F/ ��
-, � Gibson Courity'Iicnith Co 'ssioncr
Oakl.and City, In. October 16, 1986
address date
Recorded locally in boolc No. $ Page No. 51 F'iled: May 31, 1972