Loading...
Death Certificate - Ernst, Herbert John_6/18/1975. � � � - _ ----�-�,----_ ---- ---- . - ._.. . . . . . _ ,. - --- - - - - --- . . . . �_; . . .. ---- - - - --�- ... . .' '� •'" ` �..[ _.. . _. �. . . �-T.S:• - _ . -. ..�1--�_.. ,� . ."' . ' . ' �` . _ , .�� ' ". . T I• � , RECORD OF DEATH _ . ' , . ; ', -- � GIBSON COUNTY DEPARTMENT OF HEALTH _ � " � � ' • - � . -• � -PRINCET'ON, INDIANA -• � � " � . _ .. . . _ . � . . : ,-� . � . ' - - TiiIS IS TO CERTIFY, that our reeords show FiF'RRFRm TnA 1r F�gT j died . .._e --: .i . - � - -: . :.- ;.�.; �... _ � . _ June - 2 1971 - —,tSAri Gib. -Gen. Hosp: �Princeion.� -Ind. �` _ -:.I month '. - .'. day - year .: "� . , haur . of. death ' - - �.-; i , _ street,..hos �tal, rural :;� •::: ;=64 ' .2�ale �� . �� -� . ._ ;, .. __.. _.p - - Age at Death SeY •- �Color �'lhite _ MaTTied � � ...._.� . ._ ' Y� . � �::�:;: �_e � � � � �vnte.whether mamed or�s�ngle �� � .:e . . ' �'� Yi .`} }-3 % . - .ii � :P,-. t . � � � .�.3� �2 � �..i. ` � ... . - .4..T�1� - t,# .i�Pnmary cause of death'given was Eatensive r cerebra� .�'ce�ebeliaT deteriora� om - _ , i -;: .. . '..�, �ti � ' r ' - r u ij �„ _1+..�: :-_ � ..i• ; _ � -. .`. .-t �. j�_ n 2 � i"e.4�� _:j . ~ S �_ .i. - ..,i . I o . t . ' ^•Signed.by. 't. •:•BruceyBrink;:lDO _ s =;P�._..�� r � i� •s „�t, + t : � u : ' ,„ �. n f ' �� . ' s - } physu�an or comner - � . � _' � .. , dress . . � . 4 = . - : Z �:.e . - ..': i `.' . > . . _. ' ;.,,'3� � x! �S 1 � -��• -� ., ,..r .:;*° se �'.`}�. '[ ` � . i�;' , Place of bunal.or removat '• � � Nex �Boston - _ --! "Nex �Bastori � Ind.`.• -- - A__± - . c _-• t,;.-^ name�of ceretery� � - ` = _ - + raddress -_.i.-" :'� _' _- _ •:ir'=:.:'�. �?i:._.:."_:d� .::.; �."" . .. 5 . ! I :'� Date of buri � 6 1'' � Colvin & Son ' Pr ncetorsi � Ynd.� � . °°' _. ' F�meeslD�reetor-� - , _�.. � na ese .._ �a- _ , F ;� �� Y/ -". ,y 3 . . SL[-1L � . � " ^' . ` Sl$Il' _ - ��' . .. _ . _•._" _ -�..,,,' �".� �t � � � ' . (� / - . - S. _.... _ ' �. � .:. . . � .;..: ' "' . � �' - Gibsoa County Health Commissioner - � r �!� .�. } •' , i :. . ' . � -, • � ..•. �.,� _ . „ • . - '' ' Princeton fl- _- � _ - (/3'��ql s ;'.• e In . - •`' �, � < '�� �5 .�address �� . Date ,-:�: : . �•. .c'• � � _ . '� '..:t - _ , — :..'Reco�ed locally in book No :.�_ 8. . page No. Y31 •. Filed: 6/22/7� .._ ~ . _ , . . J . 1 � ' � i � ' � i . � i 6 - 0 ) • � F ' � . i� fi� F�� j il i � 7 ♦ V��. __ ,•f�� '� ,.:(+ .:S 3. j'... .� 1 i,± � _;.f ^3 � . <t i . . 3i � -' t�. ;� �� .i �F � r . _ �� �o ..�f �� v `. . . 'r � ��. ., � .' i }1 1 _. . � t :: .r_ _� . ' . �1.- � :i. 't a t : S. .. . . . . . _._ . .. _ .. .�_. . - -' — , .i �� i. - ... :: .; �i ; tua::..:.._ ._, _ ..r.e. _�_ - ' . �, o.. � � '. � i� � . - s . �' � . ,. ._.__._. >... ..x.._.c..::..._u . ...__�.a_... � - .....-i . .a.._.. "'"""" ' . ...'"'' "'_'�_'t'_ __ e