Death Certificate - Bilderback, Fredrick John_6/9/2003GIBSO�OUNTY DEPARTMENT OF �ALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THI3 I3 TO C6RTIFY
that according to the recorda of the Oibson County Departmen[ of Health,
FRSDRICK JOHN BILD$RBACK
Died on 04/16/1995 at 10:14am
Forest Del Convalescent Center
102o vine street '
Princeton IN 47670
Age at death . 82 Years
Marital 8tatus: Married
Sex: M
Color: White
Cauae of death: Cardio Respiratory Arrest (immediate),
Cerebral Anoxia (immediate), CA Esophagus (6 months)
C H F
Signed by: Bruce C. Brink, Jr., D.O.
410 N.Main
Princeton IN 47670
Place of burial Walnut Hill Cemetery
or removal:
Ft. Branch IN 47648
Date of burial: 04/19/1995
Funeral home: Colvin Funeral Home, Inc.
S A A L� .
425 N. Main St.
Princeton IN 47670
Signed by � G �/V��" "�
Gibson County Health Commissioner
Princeton, Indiana 06/09/03
Address Date
Recorded locally in Book No. 12 Page No. 114 Filed: 04/25/1995