Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Death Certificate - Tooley, Lewis D_5/31/1972
.. _. ' . -',_ _ . - ,.. . � ;� .. , �, - , - '•RECORD OF.DE4TH - �. . _ - i_� , .�.' � " . � � _ . � _ _ . . . ' GIBSO\T:,GOU\TP DEPARTJIENT�OF HE�LTH�:_'�, _ � �"� � . - .PRI\CETO\; INDIA\A� ' . � - :. THIS IS•TO CERTIFY, that,our.i-ecordssho�� , '�i.EWIS D:�� `�'OOLEY� ' � , _ a�ea. . _ '�' - - -; .. - . Oct.. - �-� 2 = ' ' 1.Q52 �-� - at -7Pb1:-31�5 Collec.e' St: � :.0akland_CitV�,:_ :Ind.. �•_ • i� : , � - aionth c �_ � day _ . . peac � _ �� hovr of death _ . _ � �•, .street, hospital, rural � . • . . . � � .- . . .-. :� � - . ' Age.at�Death� 58� ' - Se�= � `Pta'I'eW ♦ -Colo"r• ^ �tahi tP , - �, iaar�i.ed _- ' , . - . -. : ' cears � . • . . . - � . " � ��a�rite . �chether married or-single ; � ` .. � . . . ' .. � .. . . . . . _. . :, ' Primaiy;cause of death�_�ven'was �'.Acute�CirculatorV'Collapse�� _ _ - , i: - - � . - - _ _ _ � -, - - - - _ . - - :.Signed by ,�- - �'- t38T.Old -R.-.��ChapPel-1�, �iID '��. ��.Oaliland `City�,..'Ind:- � ' : � •' . . ' . . - physician� or co'roner ' '. . . , . _'- . . �:.addmss- � � - ' ' —. ' . Place of buiial or remo�%al '- �ontgomery * '"OakTand Ci.ty., Ind�. _ _ �— .. � ` � � � �name �of��cemeten-� � - �, - � - � � "address..' - - : - � ' �. , Date of buria •� 10' � . 2. ! �� ' • � �Lr2mb & Sori ' �. Oa andc Cytv, �Ind � � . . Funeml Director. �I' : i. - •r - � : ddre ' ' -. _ __. ; --sE4Lf -� _ . sigaefl : . •_ : :,. .. -� -. -, . � ' � � „�-- � � - - - - i -_ - � Gibson County_ Health Commiss�oner � - . " ' ' ��� �r� -. Princeton, Ind < � - ' {.5/.31/72 - ' �, � � � �; - - . ' ' -� address. - � � . ' '; ' Date .' .. - • _ - - �i� ' . - Recorded locally m book-No �� . page \o: � "8' F'iled: 10/6/$2 ; � .- ' � .c. . �..' .-:.- �TK�: �� : - '. : '�... - :. . -: �� :' - -- �_. ,._ ,,_. ._... _ ._ . �i � . . � . ' '' " ' �'' 1 t� �."� \ {� ' . ' '� � �• r. . . .Y. � _ ' � � . _ � .� . . � .�- .. " - • • � ... _. � , �_��._ � ��� ._ . . . • .. . .. r 1 . � .. � .� . ' .. . ._ .• .. . ' . . . . • . . . . . . . - ... .