Death Certificate - Scott, Paul Ewing_2/1/1988RECORD OF DEATH � �
GIBSON COUNTY DEPARTbIENT OF HEALTH
PRINCETON, NDIANA
THIS IS TO CERTIFY, the[ our records show PAUL EI�IING SCOTT died
Jan. 7, 1988 e� 5:00 A.D1. R.R.# 1 Owensville; In.
mon[h day year � hour of deeth street, hospital, rurel -
Age at Death 83 Sex N1ale Color White �gari[al Stetus Married
yeers � - write whether merried or eingle
Primary cause of death given µ•as Cardiac Arrest .
Signedby Dr. Darryl M. Sugar 921 Chestnut Evansville, In.
� physician or coroner _ address � •
Placeofburialorremoval Benson Owensville, In.
� name o( cemetery eddrees
Dateofburiat January 9 1988 Holder's Funeral Home, Inc Owensville, in
Funersl D'vecwr eddress
SEAL
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_— Cibson County Heal[h Com�, � sioner� '
Oakland City, In. January 12, 1988
address dete
Recorded locally in book No. 11 Pege �ro 5 3 Filed• January 12 , 1988
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