The URL can be used to link to this page

Death Certificate - Busch, David Frank_1/17/1973; si �.jf.� .�—'.-. ! � ... ��.. .. � V , . �� a�. . . -. , �, . r � ' i S : . � � . t . RECORD OF DEATH -__ � , : ` t' ' • GIESON COUNTY DEPARTDiE\'T OF.HEAL`PH .r . !`, ;:'� " • P�ta•crTO�, i:.nra�,� � ; � . , �, ' •; �. � . . ; � . : „_ : �� THIS IS TO CERTIFY,°that otu• recoi•ds sho«•_ ��D9VID FRaNI{'BUSCF `� �. " �� e�_ , - d�ed . �18'. : � ' : Jvne F + , 1945 '_at6=4$.AM�Gib. Gen •3osp .Pr2nceton � Ind.'r. ' � � . 4 - II1On� _ , ; - �a3 - ' - ' year . hour of death � street hospual; rura! . � ` i S .I �' Age at Death S9-, Sea : .Male � ' , ' �� . "Coloi�_ whi.t.e Married t �" `� • vears� . . � : u�rite �chether married or �ingle _+i - i f . � -='` �: - � � . ; . � n . . . . , _ _ . . r' i r��f� 5 .� rl I# Pnmar3 cause of death g�ven �Sas Carclnoda of ieft.kidney ' z � �� , r +z s: �iz i� � � �i • �` � t +� ,r��e � �� :l' _�1 3 � .i. r t � ° �t r Signed.b�'�_�+ '� � �H: 'Alex�er, MD' Ar-fnceton. Ind. ----�' } � �, -�, "=-� . ' . .; - . E . - t '% ph}sic�an "or coroner . . , . .. • _,' . � . '. address . r •. . � �.� � ; e � � � • � t� � � - . :,. . . Place of burial or removal s" •"T, Q Q g'_� princEtoa' Ind, .� `S:�j � y . r;' � ' '; .7; name of cemetery � � � .. . � - .address • - � � -ar a i _� • �; � i Date ofrburial�/�0/45 _Colvin��Son -.� .prince on,-� , ' ' E� ' � � � +. Fnneral Director . _ , dres � � � ��- r. �� : 7 , - � - ' . ' t', t ' SEAL r �` . • , ' ��' ' S ; i � �7 ,. + , , Signed_� � ' � t . � Y � � . � r - " - � � _ �� _ �G�bson�Gount}� Hea th Com � sioner z I � .i r 5 ' .. t `+ ` �_ �, ii '•"� ` , - f .. .,; �- � ` , —Frinceton-�-I.nd• ,'^' i��-23 . � ,`t �,�:_ . - - - . ' address .. . , ' • 1- c� ..( _ - � Date ,t ` i : a _ �. � '. ,i ... ': . : � � ., •�, . [. � ; ': "Recorded locall3 �n book �o `_5��- '- Page No � � � `i' ~ �� , . -] 4�—Filed = Fi/�9/4-5 , � . . � . _. � _ :. , . � .- - � � :i �r ' � ' �� . ? . � f � + , `� .�Informants Susan.Busch;i'�. - _ , ' } t� , _ � 4��..j t��r t t 'i., . . .. �. � . �-� � l5'`'^� � ,� �1_ 't ' 0 3 � t . , . _ _. . � + _ ` .. , . v . 1' . � 1�... [ . �'. 1 ff . .. _ " T.' I � �t �. ) �i , �,' � --:+ l��. � � ' -..,,; + 1�#3�....��t. .-0:•�Rl�.. ��iz.p•... r..l�e�" ' .._.: �.. fl ' sf(.'f�'/' i - i .�--i .. �. ._ r.�1~�k1a's i�:. . .!-..'��.