Death Certificate - Thompson, John D_8/14/1996GIBSON �UNTY DEPARTMENT OF�LTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OFDEATH
"!iZ5 IS TO CERTZFY
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 .
Marital Status:
Cause of death:
Signed by:
84 Years
Married
Sex: M
Color: White
Respiratory Failure, Alzheimer's Disease,
Congestive Heart Failure _,
Quentin B. Emerson, MD
802 E. Oak St. P.O. Box 185
Ft. Branch IN 47648
Place of burial Owensville Cemetery
or removal:
Date of burial:
Funeral home:
S E A L
Owensville IN 47665
07/OS/1996
Holders Funeral Home of
Gibson County, Inc.
P.O. Box 518
Owensville IN 47665
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Signed by °� "� / ��• "��'�''�
Gibson County Hea h Commissioner
Oakland City, Indiana 07/19/96
Address Date
Recorded locally in Book No. 13 Page No. 16 Filed: 07/19/1996