Death Certificate - Wallis, James M_4/13/1987RECORD OF DEATH �
lJ
GIBSON COli\'TI' DEPARTi14ENT 0� HEALTH
PHI�CETO\, I\DIANA
THIS IS TO CERTIFY, that our records shoa• Jr�ti1ES M. WAZ,LIS
died
�iarch 29, 1987 a� 3:15 P.Di. 511 N. Race Princeton In
month day ��ear hour of death s[ree[, hospital, rurnl
:1ge at Death �� Sex i�iale Color SVhitq.farital Status �`larried
reers
" write u�heeher married or single
Primarp cause otdeath gi�•en u•as Cancer o` the Colon
Signedb}• Thomas G. Lutz, Di.D.
physician or mroner
Metastatic to liver and lu
Evansville, In.
address
Place of burial or removaL j'+alnut Hi11 Ft Branch In
name of cemeten address
Date of buriaL H� 1 9_g7 Colvin F neral Home Princeton In .
funeral U�rector address
S E:1L
Signed- � `''�"���i�"'��j6rilt,T%
� Gibson County Iicnith Cor iissioncr
Oakland City, In. April 2,, 1987
address date
Recorded localk in book No. 11 Yage No. 3� Pil
ri1 2, 1987