Death Certificate - Creek, Clavin S_4/6/1994� �
GIBSON COUNTY DEPARTMENT OF
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
R E C O RD O F D E AT H
HEALTH
THIS IS TO CIIYfIFY
that according to the records of the Gihson County Department of Health,
CALVIN S CREEK
Died on 07/11/1981 at 3:OOp
home
RR 4i 2
Owensville IN 47665
Age at death . 80 Years Sex: M
Marital Status: Married Color: White
Cause of death: Coronary 1'hrombosis
QQg - 00///.p� a 05•0034��f-00
Signed by: Robert E. Stodghill, Coroner
Ft. Branch IN 47648
Place of burial Oak Grove
or removal:
Owensville IN 47665
Date of burial: 07/14/1981
�neral home:
S E A L
Holder Funeral Home
319 S. Main
Owensville IN 47665
Signed by "v—`/ ��"' �/"��
Gibson County Healt Commissioner
Oakland Citv Indiana 04/06/94
Address Date
Recorded locally in Book No. Page No. 44 Filed: 07/17/1981