Death Certificate - Stoll, John J_8/21/1986RECORD OF DEATH { �� �
GIBSON COUNTY D�PARTMENT OF HEAL'I'H
PRIA*CETON, INDIANA
TffiS IS TO CERTIFY, that our records show 1�uN_,7 _ Smnr i ��
Febuary 5, 1986 at 2:00 P.M. Gibson General Hospital Princeton, In.
month day year hour of death street, hoapital, rural
73 Ma1e White Married
Age at Death Ses Color Marital Status
Y�rs write whether married or single
Primarv cause of death eiven was_ Acute Gram Negative Cystic Pneumonia Rt. Lung, I
Chronic Obstructive Pulmonary Disease.
Signed byj�jlliam R. �9ells, M.D.
physician or coroner
Place of burial or removal St. Joseph
uame of cemetery
Date of burial February 8, 1986 Colvin
FLnernl Directar
Princeton,
addrese
Princeton,
addxess
Princeton,
nddress
Zn.
In.
In.
SF,AL $igned "° ������'�
. . . Gibson County Health ( mmissioner
Oakland City, In. Au ust 19, 1986
addxesa . ��
\Recorded locally in book No. i1 Page No. 3 ���: February 18, 1986