Death Certificate - Pierce, Thomas N_8/25/1999GIBSON C(?�VTY DEPARTMENT C� HEALTH �-
800 S. Prince St.
Princeton, Zndiana 47670 �
812-385-3831
RECORD OF DEATH
, .
THZS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
THOMAS N. PIERCE
Died on 08/22/1999 at S:OOPM
Holiday Manor Nursing Home
305 North 6th Ave
Princeton IN
Age at death .
Marital Status:
Cause of death:
91 Years Sex: M
Married Color: White
Cardiac Arrest - Massive MI
NOTE: BODY DONATION
Signed by: Yong Cho, MD
1808 Sherman Drive
Princeton IN 47670
Place of burial I.U.Medical Center
or removal:
Indianapolis IN
Date of burial: BODY DONATION
Funeral home: Colvin Funeral Home, Inc.
S E A L
425 N. Main St.
Princeton IN 47670
Signed by
�!�'', ;�^�r � ^�� •�'�
Gibson County Hea'•th Commissioner
Oakland City Indiana 08/23/99
Address Date
Recorded locally in Book No. 13 Page No. 100 Filed: 08/23/1999