Death Certificate - Dickenson, Glenn Orville_9/6/1995GIBSON �NTY DEPARTMENT OF�TH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
p i 7-O � 1-33-o c�
THIS IS TO CERTIFY
that accordinq to the records of the Gibson County Department of Health,
GLENN ORVILLE DICRENSON
Died on 08/02/1995 at 3:05 PM
Wirth Osteopahtic Hospital
Hi Way 64 West
Oakland City IN 47660
Aqe at death . 71 Years Sex: M
Marital Status: Married Color: White
Cause of death: Osteogenic Sarcoma, 6 Mo.
Paget's Disease, Years.
Diabetes Hypertension.
Signed by:
Henry A Peters, DO
Hwy 64 West
Oakland City IN 47660
Place of burial Blythe Chapel Cemetery
or removal:
Date of burial:
Fuaeral home:
S � A L
Owensville IN 47665
08/OS/1995
Holders Funeral Home of
Gibson County, Inc.
P.O. Box 518
Owensville ZN 47665
Signed by �'�l'/�'G'• �'�''�
Gibson County Health mmissioner
Oakland City, Indiana 08/11/95
Address Date
Recorded locally in Book No. 12 Page No. 122 Filed: 08/11/1995