Death Certificate - Belcher, Chester Porter_7/7/1997GIBSON C0�1TY DEPARTMENT O�HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
CHESTER PORTER BELCAER
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Died on 06/20/1997 at 11:48pm
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 65.Years Sex: M
Marital Status: Married Color: White
Cause of death: Congestive Heart Failure (3
Arteriosclerotic 5eart Dis
Signed by: William R. Wells, N,D
510 N.Main St.
Princeton IN 47670
?lace of burial Z.O.O.F.
or removal:
Date of burial:
Funeral home:
S E A L
Francisco IN 47649
06/25/1997
Colvin Funeral Home, Znc.
425 N. Main St.
Princeton IN 47670
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Signed by °" `'1"/ �1������
Gibson County He th Commissioner
Oakland City, Indiana 06/25/97
Address Date
Recorded locally in Book No. 13 Page No. 41 Filed: 06/25/1997