Death Certificate - Peck, Perry_7/2/1979RECORD OF DEATH � •
GIBSOI�T COUNTY DEPARTMENT OF HEALTA
PRINCETON,INDIANA
TffiS IS TO CERTIFY, that our records sho�v PERRY EMERSON PECK died
1�26/79 at 8024�PM RR #2 Elberfeld, Ind.
month day yeaz hour of death street, hospital, rural
Age at Death 69 Ses M• Color �• Niarital Status Married
years write whether married or single
Primai•y cause of death given
thrombosis
Signed by Howard N. Ropp, DO Oakland City, Ind.
physician or coroner address
Place of Uurial or removal Garden of Memory Gentryville, Ind.
" name of cemeterp address
Date of burial 1/30/79 Corn Mortuary Oakland City, Ind.
Fiinerel Direcror address
SEAL
Recorded locall3� in Uook No. x-5�
��7'���C�. �� C/N'l,!/
Signe
Gibson County Health Co ' sioner
Oakland City, Ind. 2/5/79
address date
ATO. 5� Ftiled: 2�2�79