Death Certificate - Richardson, Elvis R_5/20/1985RECORD OF DEATH � �
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GIBSON GOUN'I'1' DEPAR'PBIENT OF HEALTH
� PRINCETON,iNDIANA
THIS IS TO CERTIF7, tliat our records show ELVIS RICHARDSON died
q�25�85 8+ 7 Z1pM Gib Gen Hosp. Princeton, Ind.
�,���h dav vear hoar of death . � etreet, hospital, rural
54 �., Flale ��or Whit�larital
Age at Death .
yeats
Married
write whether married or eingle
Cardiac arrest
Primary cause of death given w'a� '
A. Kumar, M.D. Princeton, Ind.
Signed `'.' - . - - _ -
physician or coroner addzess -
� - - biaumee Owensville, Ind. ' ' - - �
Place of burial or remova . nddress
� ' s .� .� � 3'�,,..inama of::cemete?9,...;,.. - .,�.. �v.s���r'�!�.� •:.4i . . .�r",'�y_ � � �t - .r i ��,,.�� �° 1.^'u..' �� . ,:f+ . .•-,'_
S/2/85 �� ' � Holder's �. ' Owensvil�Le, Iad:'' �
Daie of buria �eral Director • address �
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sEaL .
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. . G���r �.°�e,.�,v
s;� � .
. , Gbson County Health mmissioner
Oakland City, Ind. 5/16/85
address � - ��
Recorded locally in�book No 10 p8ge No.
146 ��: 5/16/85