Death Certificate - Smith, Fred J_9/4/1997GIBSON C�NTY DEPARTMENT `F HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
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RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
FRED J. SMITH
Died on 04/O1/1995 at 12:21 AM
Residence
509 West Emerson St.
Princeton IN
Age at death . 61 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Metastatic Adenocarcinoma to Bone and Liver, Lung, 7 Mo
Primary Site Undetermined.
Old Myocardial Infarction.
Signed by: Robert McElroy, MD
515 Read Street
Evansville IN 47714
Place of burial Columbia White Church Cemetery
or removal:
Date of burial:
Funeral home:
S E A L
Princeton IN 47670
04/03/1995
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by "�/ ��t �'• �}°'�
Gibson County Heal Commissioner
Oakland Citv, Indiana 09/04/97
Address Date
Recorded locally in Book No. 12 Page No. 112 Filed: 04/06/1995