Death Certificate - Yeast, James R_5/13/1988RECORD OF DEATH `
LJ
GIBSON COUNTY DEPART�7ENT OF HEALTH
PRINCETON. INDIANA
THIS IS TO CERTIFY, that our records show JAMES R. YEAST died
'� - ��- R8 at 12:45 A.M. �4irth Memorial Hosp. Oakland City, In.
month dey yeer hour of deach svicet, hospital, nval
Age at Death 99 Sex Male Color �'�hit�,larital Status jaidowed
years write whether married or single '
Primaryceuseofdeathgivenwas Respiratory Arrest, CHF, Renal Failure
Signedby merrv nahlhansen D.O. R.R. 3 Oakland City, In. 47660
physician or coroner eddress
PlaceofburialorremovaL_I�IaLn,+ Hill [`amatPr}� Ft. BranCh In.
name of cemetery address
Date of burial 3-zz-88
SEAL
Recorded locally in book No
Funeral Director
11
Funeral Home 304 i9. Locust Ft. Branch, In.
eddress
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Signed
Gibson County Health Commissioner
412 Main Oakland City, In.
ada�ess
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March 25, 1988
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3-25-88
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