Death Certificate - Thompson, John D_5/29/1997GIBSON C 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,
JOHN DOSS THOMPSON
Died on 07/02/1996 at 3:45AM
Forest Del Convalescent Center
1020 Vine Street .
Princeton IN 47670
Age at death . 84 Years
Marital Status: Married
Sex: M
Color: White
r
Cause of death: Respiratory Failure, Alzheimer's Disease,
Congestive Heart Failure
Signed by: Quentin B. Emerson, MD
802 E. Oak St. P.O. Box 185
Ft. Branch ZN 47648
Place of burial Owensville Cemetery
or removal:
Date of burial:
Funeral home:
S E A L
Owensville IN 47665
07/O5/1996
Holders Funeral Home of
Gibson County, Inc.
P.O. Box 518
Owensville IN 47665
Signed by �/U'?'/ �'��'• �'���
Gibson County Healt C6�mmissioner
Oakland City, Indiana O5/29/97
Address Date
Recorded locally in Book No. 13 Page No. 16 Filed: 07/19/1996