Death Certificate - Beadle, Wayne E_4/28/2010� �
GIBSON COUNTY DEPARTMENT OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THZS IS TO CERTIFY
that accordiag to the records of the Gibsoa County Department of Health,
WAYNE E. BSADLE
Died on 12/OS/2003 at A.M. ��
xesidence
106 Tennessee St.
FId212tOZ1, IN
Age at death . 67 Years Sexi M '
Marital Status: Married Color: White
Cause of death: Advanced Metastatic Colon Cancer, 35 months.
Maaner of death: Natural
Sigaed by: Subhash Sharma, M.D.
700 Willow
VinCenneS IN 47591
Place of burial Hazleton Community Cemetery
or removal:
HdzletOil IN 47640
Date of burial: 12/09/2003
Fuaeral home: Colvin F�neral Home, Inc.
_ 425 N. Main St.
Princeton IN 47670
S E A L
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Signed by �"
Gibson County xealth Commissioner
Princeton, Indiana 12/22/03
Address Date
Recorded locally in Book No. 14 Page No. 79 Filed: 12/22/2003
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