Death Certificate - Thorne, Verner_5/23/1986ItF,CORD OF DEATH . �
GIESON COUNTI llEPAP�T\IE1VT OF HEALTH
� PRINCETON,INDIANA
THIS IS TO CERT]Fl, that our records show VERNER F. THORNE
�lay 4, 1986 at 4:00 P.M. Gibson General Hospitai Princeton, In.
month day peaz hour of death . street, hospital, rural
rlge at Death 74 Sex Male Color «hite nqailtal Status Married
years �vrite whether married or single
Primary cause of death given was Chronic Obstructive Pulmonary Disease
Signed by Bruce C. Brink Sr. D.O. Princeton, In.
physician or coroner address
1'lace of bm•ial or removal— Oak Elill _ Patoka, In.
name of cemetery � address
Date of burial riay 7, 1986 Colvin Princeton, In.
Fhneral Director address
SEAL
Signed •,�l���y��.�,11
Gibson Countv Health mmissioner
Oakland City, In. May 14, 1986
address date
Recorded locally in Uoolc ATO.-11 Page Aio. � i Filed: May 7, 1986
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