Death Certificate - Elliott, Duane A_9/10/2014 GIBSON COUNTY DEPARTMENT OF HEALTH
800 S . Prince St.
Princeton, Indiana 4767,0
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
DUANE A. ELLIOTT
Died on 07/31/1994 at 1 : 38 P.M.
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death 64 Years Sex: M
Marital Status: Married Color: White
Cause of death: Respiratory Failure, Immediate
COPD, 4 Years . Cigarette Addiction.
Signed by: Edward White, D.O.
410 North Main St .
Princeton IN
Place of burial Mt. Olive
or removal:
Mt. Olympus IN
Date of burial: 08/03/1994
Funeral home: Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by {e/ 4 ?GC. •AA"
Gibson County Heal Commissioner
S E A L
Oakland City, Indiana 08/09/94
Address Date
Recorded locally in Book No. 12 Page No. 95 Filed: 08/04/1994 •