Death Certificate - Smith, John J_9/13/1988RECORD OF DEATH � �
GIBSON COUNTY DEPARTMEA'T OF HEALTH
=- ' �� � PRINC;ETO?d.I`1DfANA
?iiIS IS TO CER7'IFY, that our records show • JOHN JAMES SMITH died
August 12, 1988fl� 12:30 AM 1007 S. Center Fort Branch, IN
a�onth � day year hour of death _ stree[, hospital, nuel
AgeatDeach 58 Sez Male Colori�hite t�laritalStatus Married
yeen ' � write whether merticd ot ainqle
Prima:y� cause of deach given wes Coronary Thrombosis -
Signedby Robert E. Stodqhill, DePUtv Coroner Fort Branch, I,^I
physicien or coroncr nddress " . �
Place of b�rial or removal Durham Cemetery Fort Branch , IN
name of cemecery eddreea
Dateofburiel August 1�3, 1933 Stodahill Funeral I-?ome :ort Branch, IN
Funerel Director eddress
.,:^I .:
SEAL .
_ Signed �{/ � i/��'J G'. a�ilf ��,�
GiGson Cuunty Heelth Co �iaeione:
Recorded locatly in book No. 11 Page No. 6$
Oakland Citv. IV Au4ust 16, 1938
eddress da[e
t 15, 1989