Death Certificate - Thompson, Sanford Ralph_1/16/2002GI�N COUNTY DEPARTMEN�F HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CBRTIFY
that according to the zecorda of the Gibaoa County Departmeat of Health,
SANFORD RALPH THOMPSON
Died on O1/09/2002 at 9:10AM
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 79 Years
Marital Status: Married
Sex: M
Color: white
Cause of death: Chronic Renal Failure (several weeks),
ASHD-(previous MI), Epiodic AF,
Cognitive Disorder (small vessel disease)
Signed by: William R. Wells, hID
510 N.Main St.
- Princeton IN 47670
Place of burial Shiloh Cemetery
or removal:
HdzletOn IN 47640
Date of burial: O1/12/2002
Funeral home: Colvin Funeral xome, Znc.
425 N. Main St.
Princeton IN 47670
Signed by
S E A L
Recorded locally in Book No. 14
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County Health Commissioner
PLiRC2tOn, II1didRd O1/14/02
Address Date
Page No. 29 Filed: O1/14/2002