Death Certificate - Reavis, Jerry Joe_2/16/1996• RECORD OF DEATH •
�
•
GIBSO\ COUNTY' DEPAR'I'il4EtiT OF HEALTH
PRI\'CETON. INDIA\A
THISISTOCERTIFY,thatourrecordsshow JERRY JOE REAVIS • died
December 16,1983at 9�20 A M Gibson Generol Nospitol Princeton In.
month ,day year hour of death sVeet, hospital, rural
Age at Death 4A Sex Mole Color White b4arital Status �or'ried
years write whether married or single
Primary cause of death gi��en was Corcinomo Toil of poncreos ( 6 months7
Signedby Willinm R Wallc M D Princeton In
physician ar coroner address
Place of burial or removal
St. Joseph Princeton, In.
nsme of cemetere addres:
Date of burial December 19 7983 Colvin Funerol Home Princeton, In.
� Funeral D'vector address
SEAI.
Recorded locally in book \'o. �� Page \i
0
sse,ea
�����,��
Gibson Counq• Health Co issioner
106
Oakland City, In. lune 20, 1988
eddress
December 71, 7983
aace