Death Certificate - Phillips, Lawrence B_4/5/1990�
� �
GIBSON COUNTY DEPARTMENT OF HEALTH
B00 S. Prince
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY, our records show Lawrence B Phillips
Died 4l�p7706/t999--a�iG:_ ,
'f"' - -
Gibson Seneral Hospital"
1808 Sherman Drive Princeton IN
Age at Death: 81 Sex: P1 Color: White itarital Status: Married
Cause of death: Exsan Guinati�ig Hemorrhage, Violent Vomitting,
Carcinoma Esophagus S/P Stricture Anastomotic site
Signed by: Arun C. Kumar, M.D.
105 N. Second Ave. Princeton IN 47670
Place of burial or removal: I.O.O.F.
Date of burial: 07/08/1989
Funeral Home:
Hazleton IN 47640
Colvin Funeral Home, Inc.
4,25 N. Main St.
Friilceton, IN 47670
� v .,�� Z� �j'
APR o-. �;�n
Q�xnu� p oist�u-s
i )
� }
. ..... ...�`:�:;::. Signed by----���v�'7��'°�.s4s,ij
a�/t
:r' -
`,.'.
� �SEAL`??
. J��:: �t't�����-.
,' : rf�:;
•."•
,:;
.�r'. jiti4.i. '' �^±_
. — ..,s� �' .
_ _;,:r
� ' '�i . .. � 1 \ :�' �:: � . .
kl
J _
Gibson ounty He h Commissioner
ess
Recorded locally in book No. 11 Page No. 94
..l
.m.
Filed: 07/10/1989
7
�
�
i