Death Certificate - Stevens, Billy G_6/17/1997GIBSON CC'�NTY DEPARTMENT �F HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385'-�3831
RECORD OF DEATH
�
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
BILLY GENE STEVENS
Died on OS/21/1994 at 2:00 AM
Residence
742 East State St.
Princeton IN 47670
Age at death . 68 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Cardia Respiratory Arrest, Immediate.
Cerebral Anoxia, Immediate.
Acute Myocardial Infarction,
iix Ventricular Aneurysm.
Signed by: Bruce C. Brink,Jr.,DO
410 N.Main
Princeton IN 47670
Place of burial Columbia White Church Cemetery
or removal:
Date of burial:
Funeral home:
S E A L
Princeton IN 47670
OS/24/1994
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by °������'• ���
Gibson County H th Commissioner
Oakland City, Indiana 06/17/97
Address Date
Recorded locally in Book No. 12 Page No. 92 Filed: 06/08/1994