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Death Certificate - Williams, Donald B_1/11/1988' t � , ; � , i ' ' ; � . ��3 ts i\, RECORD OF DEATH �� k}'� k _ '`1 ' . � "� �YI f�` � - � r :� , i , ' }�� I. _ -.�' ' t ..` , '' , . i�:.i '.� } 1 1�� GIBSON COUNTY DEPAR7'\4ENT OF HEALTH .: , �� ' , i; �i I� i � � - - `- - PRtNCETON. fNDIANA , . � � , - ' � ; , , . '., . . .; -. ...r.i;�'}��}:� . . . i:� �. � - � � :��! . THIS IS TO CERTIFY, that our records shaw t+' DONALD BASS WILLIAMS � •_died ,' �; � !;�� ;,.,. ; ... ��;yt i��; . ; :. ;.; ;:. ;� ; . i, �`•�l;; December 24,1987et'2:95�A'.M. Gibson General Hoosital Prinr-at�n, r„_ ° month day' , �yeart � •� hourof deeth� •. � ,� i � (, I+ � �� i � sVee4 hospital ru�el ,1, � ' � � � !, � i � � I� � •-- i : � �'i.� .� I' �•�i�'I�:�1!' � � : f �� '.1��.� i ' .�' � � Age af Death 74 �� ' Sex Mal P� Color Whi rP b9arijal StetuE• nna.-r;�o,� �' '�' �'� ,�;,j �' . . yeers : , , , . . . .'' 1, i , !.: . . write whether mertied or ningle , %' � "� i , . � � . � ' � . �..{i! , �.� ��•�� .. � • . . .� • :�i�� , . . � . . ..� � . . � . . . . � . ( . Primary cause of death given was Refractor}� COTI{3PS+' 1 VP Haarf Fa; 1 ure ' � � � �,y�ti� , • , .. ' I Cardiomvopathv Restri cti va i.nnn ni 4(�ASP _ � j . � . .. ! �� ; . . . Signedby Arnn C'. Knmar� M_n_ � Princeton� Tn_ ., physician or mroner , � • address . ,�Ialaut.Hi11 � Ft. Brancn In. Plece oi buriel or removal � , name of ceme[ery � eddress Dateofburial December 28, 1987 Colvin Funeral Home, Inc. Princeton, In. Funerel Director eddress � SEAI. Signe �V �7�i'• ra,P% . Gibson County Heelth Coi ssioner � . Oakland City, In. January 4, 1988 eddress � date � Recorded locally in book No. 11 Page No 52 Filed: Januarv 4, 19RR ' i; : , �� , i : :, � ; : . ; . ; ;; � � •: : � ir � � . , �� 1 � 1� "i i i � i � ,. � ��{ � � � � „ '. 1 i I i, t � � � � � ,�� i�' t � ; � ,� ,; � � .. � � , I , .�:. � . . , } : . 1�l,I{i; i Ii ..fH4Yi. . ... . , � ,.. , i,ti��:i� _. . ;� ,,i,�ir� . , :. � i;,{r! r . • � ,,� ' �: i� . r {�— ,==;'�i:�{��s.,t' i �,.; ,• ' ��i'I:`�e . � � �4� � t ij � , I 1 I �I�{, { -+� . ' '�S��L pllil�f�� i��,� � , • <. �� i 4`� � i�,t, '�' �,l . .i` j ' `1{ J . .•, � ' , ' ',; 1 '�i�.� . � �. � _''`.i`'1 �; : - �;, <: �� . ',,.� :. '��., iI �' �.` ,. � , ; ' �' , + ' I i . . . . 1 � � ) , `, � I 1 ! I � , � � I � i': ' . � i��, ' , ; � � � , , ,� � ;: � �i � , � . , . �� ,�� . ' � • , � ; , � . j. � � i, . ; �i � , � :. ' , , rf i i. t: i 1 I� }I , r ; r � � ,� � ,�� . ; ;1",J+,: �.. ;, _ i; ,, •�,'