Death Certificate - Woolems, Cecil_3/3/1986RFCOP.D OF DE3TH � :
GIBSON COU\TI DEFr1RT1iENT OF HEALTH
� PRINGETON,INDIANA �
TH,'S IS TO CERTIF'Y, that our records show CECIL A. 4700LEMS
FEiJ. 1�, 1986a� � 12:01 a.rt. 61i S. Gibson Princeton, In. '
montn day year hour of death street, hospital, rurel
Age at Deatl� 68 Ser ��ale Color ��hite �Iarital Status �`�arried
pears . write �chether married or single
Pri�+ary cause of death o�ven R•as Cardio Respiracory Arrest, Congestive Heart
�a;i„--�. pna� �imonia Chronic obstructive pulmonarp disease
Si�ed b}� Robert Bond, hI.D.
phpsician or caror.er
Princeton, In.
address
Plac2 of burial or removal�da� m,'- Hi � 1 Ft. Branch, In
name of cer.ietery address
Dsie ef bural February 19, 1986 Colvin Princeton, In.
' F4�ncral Director address
riEaL
Recarded locally in bool: N
.S1eIlECL
�i! ���%"'('-J'•J �.r,�rON�'!
Gibson Count}- Ficalth Cwnmissiuner
Oakland City, In. 2/20/85
addre=s
il PzQe �0 4 Filed: FeUruary 19, 1986
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