Death Certificate - Dewig, Alois Henry_1/27/1971RECORD OF DEATH A
.
GIBSON COUNTY D�PARTMENT OF HEALTH
PRINCETON,INDIANA
THIS IS TO CERTIFY, that our records show
ALOIS HENRY
January 29, 1971at 6:25 P.bi. Gibson General Hospital Princeton, In.
month day year hour of death street, hospital, rural
Age ut Death 83 gea Male ColorWhite nqarital Status Married
years write whether married or aingle
Primary cause of death given �cas_ Cerebral Embolus ( 5 days)
William R.:S�iells, M.D. Princeton, In.
Signed by
physician or coroner
address
Place of burial or remova�' � Sts. �Peter and Paul Haubstadt. In.
name of cemetery . -� address
Date of buria� January 27 1971 Wade Haubstadt, In.
F�neral Director address
sEaL
5,�,� ������,a,v
Gibson Countp Health Ca niasioaer
Oakland City, Zn. August 7, 1986
address date
g¢corded locally in book No. $ Page No. Zz Fti1¢�: January 27. 1971