Death Certificate - Pauley, William Henery Miller_9/23/1996GIBSON'�UNTY DEPARTMENT OF�EALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
0
THIS IS TO CERTZFY
that according to the records of the Gibson County Department of Health,
WILLIAM HENRY MILLER PAULEY
Died on OS/27/1995 at S:OOpm .
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 73 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Cardio Respiratory Arrest (immediate),
Adenocarcinoma Right Lung (2 months),
CVA (2 weeks)
Signed by:
Bruce C. Brink, Sr.,, DO
410 N. Main �
Princeton IN 47670„ '
Place of burial Shiloh Cemetery
or removal:
Date of burial:
Funeral home:
S E A L
Aazleton IN 47640
08/30/1995 �
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by �(/��'tl�"�`�B�hD
Gibson County He th Commissioner
Oakland City, Indiana OS/31/95
Address Date
Recorded locally in Book No. 12 Page No. 123 Filed: 08/31/1995