Death Certificate - Balbach, William L_3/18/2003l\
^ �--
GIBSO�OUNTY DEPARTMENT OF HEALTH
S00 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CBRTZFY
that according to the records of the Gibson County Departmeat of Health,
WZLLIAM L. BALSACH
Died on 03/04/2003 at 1:20AM
ResidenCe
423 Bradley Drive
Haubstadt IN 47639
Age at death . 72 Years Sex: M
Marital Status: Married Color: White
Cause of death: Non Hodgkins Lymphoma (7 months)
Ischelnic Cardiomypathy (7 months)
. .::'�. '•� ._ :.:�:-� ...�...�:°i . .��i.':<.'._. ._���...:.' " '"'Ni���}Yi�t`.'��!K_a�l�i.'?2��.+.}itP-�:�Ai�
�
' �' ��': or iemoval i " -. -� .. . .,-. � - •-'r-;
" -- ��� � Haubstadt IN 47639 �
Date of burial: 03/07/2003
Funeral home: Wade Funeral Home, Inc.
- - : •
- •� 119 S. Vine Street
- ' .Haubstadt IN 47639
S E A L
. • "t�a .- :; 1
-� �. ����,
Signed by
Gibson County Health Commissioner
Princeton, Indiana 03/13/03
Address Date
Recorded locally in Book No. 14 Page No. 59 Filed: 03/13/2003
�