Death Certificate - Pollock, Teddy L_4/23/2001GIBSON�UNTY DEPARTME� OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
TEDDY L. POLLOCR
Died on 02/14/2000 at 3:37PM
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 63 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Respiratory Failure, Pulmonary Fibrosis.
Signed by: Peter Rosario, M.D.
801 St. Mary Dr.
Evansville IN
Place of burial Maple Hill
or removal:
Date oE burial:
Funeral home:
S E A L
Princeton IN 47670
02/17/2000
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by �" G ��"""`�'��
Gibson County Health Commissioner
Princeton, Indiana 02/25/00
Address Date
Recorded locally in Book No. 13 Page No. 113 Filed: 02/25/2000