Death Certificate - Scott, Darby_10/18/1983RECORD OF DEATH
�1
GI SON COUNTY DEPARI'MENT OF IiEAL1`H
PRINCETON,INDIANA
THIS IS TO CERTIFY, that our records show DARBY C. SCOTT
5/24/83 at 1:20PM Gib. Gen. Hosp. Princeto
month day year hour of death street, hospital, rural
Age at Death g.9_—Se��, Color t�h• M��► Statu� Married
yeara write whether married oz single
Primarp cause of death given was Pulmonary failure with pneumonia
Signed by Ycui;—Cho, Mc�
Princeton, Ind.
phyaician or coroner address
Place of burial or removal Owensville, Ind.
name of cemetery' address
Date of burial 5/26/83 Holder's Owensvill�,_Intl_ _
Fwneral Director address
SEAL
�/ ��t�r'y � � . /�.,?J
Signed
Gibson County Health Commissioner '
Oakland city, Ind. 5/31/83
addrese date
10 93 5/31/83
Recorded locally in book No. page No. �led:
�