Death Certificate - Burchell, Julian_4/14/2003GIBSON C�TNTY DEPARTMEN'I�F HEALTH
800 S. Prince St.
Princeton, Zndiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY�
that according to the records of the Gibson County Department of Health,
JULIAN BURCHELL
Died on 03/14/1998 at 7:25am
Residence
RR # 4, Box 52
Princeton IN 47670
Age at death
Marital Status:
Cause of death:
Signed by:
Place of burial
or removal:
Date of burial:
Funeral home:
S E A L
71 Years
Married
Sex: M
Color: White
Cardipulmonary Arrest with Cerebral Anoxia,
Lung Cancer (1 year)
Lance Payton, M.D.
410 North Main St
Princeton IN
I.O.O.F. Cemetery
1015 N. Hart St.
Princeton IN 47670
03/17/1998
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by �s(/���n2;��,�L�
Gibson County Hea h Commissioner
Oakland City, Indiana 03/24/98
Address Date
Recorded locally in Book No. 13 Page No. 62
Filed: 03/24/1998