Death Certificate - Christmas, Harbin_2/15/1979�CORD OF DEATH _� �
GIBSON COUATTY DEPART➢1ENT OF HEALTH
PRINCETON,INDIANA
THIS IS TO CERTIFY, that our records sho�v �RBIN CHRISTNIAS died
4�28/61 at 9:4oPm 421 Garfield Ave. Princeton, Ind.
month day }•eaz hour of death street, hospital, rural
62 M. Wh Married
Age at Death Sex Color niarital Status
pears write whether married or single
Primary cause of death given was Peripheral Cmrculator.Y failure
Signed by
Place of burial or
Date of Uurial—
SEAL
B. C. Brink, DO Princeton „Ind.
physician or coroner address
�val Patoka Patoka, Ind.
name of cemetery address
5/1/61 Colvin & Son Princeton, Ind.
F�neral Director address
0
�4i"?
� �r�� �� ,�..o
Signed (/
Gibson Coanty Health Commissioner
Oakland City, Ind.
address
Recorded locally in book No. H-�9 Page No. 120 Fi1�: 4/29/61
date