Death Certificate - Wiggs, John_11/17/1975r �`����
RECORD OF DEATH •
u
GIBSON COUNTY DEPARTn4E\T OF HEALTH
PRINCETON,INDIAAA
THIS IS TO CERTIFY, that our records
JOHN MARK WIGGS
�
1 �
Jan. 10, 1959 at 5�40AM 1�3n n4rwin Ave Princeton, Ind. �
month day }•eaz hour of death street, hospital, rural
�1ge at Death g7 Sex Male Color 1'�hlte �qarital Status Marrled
years write w•hether married or single
Primary cause of death given wac Chronic myoo.arAlt�
SignedUy A• F. Car Pnt1o,�� ta_n Prinr.Pton, TnA.
physician or coroner address
Place of burial or removal IVew Libert5± �ne, Ind
name of cemetery address
Dateofburial 1/12/59 c`nlv�n R.GOn pr+nceto�, �n�l
- Funeral Director address
SEAL
� `�// �`� � �"; < �,Cl
/ �
Signed ��
Gibson County Health Commissioner
Oakland City, Ind. 11/I2/7�
address date
Recorded locally in book ATo. H-48 Page \TO. 24'S Filed: 1/12/S9