Death Certificate - Pond, John H_7/31/1984�. s�
�-
RECORD OF DEATH �
•
GIBSON COUNTY DEPARTMENT OF HEALTH
PRINCETON,iNDIANA
THIS IS TO CERTIFY, that our records show OHN� pQND
died
7/11/84 11:43PM
at i�, ren • Hos�_`_princeton Ind
month day yesr' hour of death street, hosp�tal, rural
Age at Death 62 Sex M' Color "h' �larital Status Married
years
write whether martied or aingle
Prima�y cause of death given was Acute
Signed b�• �'lilliam E. Dye, M.D.
physician or coroner
Place of burial or removal I.O.O. F.
name of cemetery•
Date of burial ��15/84 Kendall
� Fluieral Direc[or
sr;�L
ial infarction
Oakland Cit_y, Ind.
addreas
Francisco, Ind.
address
Princeton, Ind.
address
����.�.��
s;�,�
Gibson Covnty Health Cummiasianer
Oakland City, Ind. 7/17/g4
addzesa ��
Recorded locally in boolc No. 1� page No. 12 9 ��� : 7/ 17 / 8 4