Death Certificate - Smith, Cornelius Bedford Jr_3/8/1989PtECORD OF DEATH ' _ �, �
G]BSON COUNTI' DEPAR'I1i4ENT OF HEALTH
PRI?�CETON, RJDIANA
I'FiIS IS TO CERTTFY, thet our.records show CORNELIUS BEDFORD SMITH , JR. died
March 21, 1988 ar 3•45 P.h1. • R.R.� 1 Lvnnville, In. _
mon[h dey year . hour of deeth street, hospi[al, rurel
62 Male White Married
Age at Dea+h Sex Color Merital Status
• y��� write w�hether married or eingle
primary ceuse of deeth given was Probable Acute MYOCardial Infarction,
Previous CA .BG.Hypertension.
-' t�', �� � �'-
3ignedby William?P:�'Hardesty 515 Reed
physician or coroner
�lece of burial or removal
` St.��John,''s
Data o!
SEAL
name ot ceme[ery�, , �
`.4 �.r;;'•1
March''2'4';::1`9,6.8c, Corn Mor
Funerol Dircctor �
Evansville, In.
Buckskin, In.
eddreu
Oakland City, In.
eddress
Signed "'✓ [/'/��'�j'i'• �'i�i'b
Gihsan Coun[y Health,Com ioner
Oakland City, In.�• April 4, 1988
address d
Recorded locally in book No. 11 Page \0 60 Filed: March 31 , 1983