Death Certificate - Tooley, Ralph_10/21/1998_ GIBSON �OUNTY DEPARTMEN�OF HEALTH
800 S. Prince St.
Princeton, Zndiana 47670
812-385-3831
s
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the recorde of the Gibson County Department of Health,
RALPH TOOLEY
Died on OS/OS/1997 at Est. PM
Residence
R.R.#3 Bald Hill RD
Princeton IN 47670
Age at death . 73 Years Sex: M
Marital Status: Widowed Color: White
Cause of death: Respiratory Arrest, Cardiomyopathy, Diabetes Mellitus
Hypertension, Old MI
Signed by: Bruce C. Brink, Sr., DO
410 N. Main
Princeton IN 47670
Place of burial Montgomery Cemetery
or removal:
Oakland City IN 47660
I
Date of burial: OS/10/1997
Funeral home: Colvin Funeral Home, Inc.
S E A L
425 N. Main St.
Princeton IN 47670
� � �-
` w
OCT 21 1998
� �' �. �
�.:.��:-,
i� GIBSO[2 i�:-'= '.,'� r,U01TC.; t
S igned by vv �'��l �'• �P's�Y'�!
Gibson County Healt Commissioner
Oakland City, Indiana 10/20/98
Address Date
Recorded locally in Book No. 13 Page No. 39 Filed: OS/15/1997