Death Certificate - Priestley, Johnie M_5/16/1978PT�3SON COUNTY DEPARTIIIENT OF HEP" �"H
� PAINCETON, INDIANA � -
THIS IS TO CERTIFY, that our records sliow JOHNIE M. PRIESTI�DY
5/�/7$ * 9�i5AM Gib. Gen.Hosp. (DOA) Princet
month day year hour of death
atmet, hospital, mial
Ind.
Age at Death 70 - Sex Fe . Color R� a rkTZarital Status
years write whether married or sing e
Primary cause of death given was Fracture of Cervi ra l, i ne
Signed by Richard D. Hickrod, Deputy Coroner Princeton, Ind.
physieian or coroner address
Place of burial or
Patoka
name of cemetery
Patoka, Ind.
address
Date of burial_��8�78 (',olvins prinreton,�nd
Flineral Director address �
SEAL
s����
° L-r� G��;-°� �° �< �.�
Gibson Counry Health Commissioner
Oakland Cit.y, Ind. �qf�g
address date
Recorded locally in book No. 9 page No. 63 Filed
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