Death Certificate - Pleiss, Lloyd L_11/6/19861�1,c�-/�-
RECORD OF DE aTH
,
G�0\* COUNTY DEPAP.T:l1ENT OF HE�TH
� PRINCETON,INDIANA
THIS IS TO CERTIFl, tliat our records show LLOYD L PLEISS ' died
October 18,1986 a� 6•56 A M Gibson General Hosnital Princeton, In.
month day year hour of death strnet, hoapital, niral
Age at Death 6`� Sex T�ale ��or White hiarital Status Married
., y�ry write whether married or �ngle
Primary cause of death given �vas_. Acute myocardial infarction, Coronary
atherosclerosis, Pulmonary edema and effusion.
Signed by Bruce C.— Bririk,-Sr.—,D.—O.--- Pririceton� In.— -
physieian or coroner address
Place of burial or removal Sh; 7 oh Hazleton Zn
name of cemetery . address
Date of burissl October 20, 1986 Colvin Princeton, In.
� Fl�neral Director address
� . sEaL _. sigaeKi ���'�'iG �6��i►�j
Gibson Countp Health Co ioner
Oakland City, In. October 31,1986
address date
Recorded locally in book h�o. >> Page No. �5 �led:��tnhes�l, 19Rh