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Death Certificate - Ellis, Hubert William_11/26/2012
FROM : Fitch Data : , ,.:. . .:;.: . . _ : .. .:.. : :.. ..:.::,:: � :.:::;._GIB� :... . e PHONE N0. : 8123867310 Nw. 26 2012 06:00PP1 P2 i�niu�mm�an �i�unn�r:Fyr.nana•r:r.i�m�+u��r.ivan:� � : - :. 5352�0. .. :OUNTY DEPARTMBNT OF HEALTH � 800 S. Prince St: Princeton, Indiana 47670 812-365-3631 RBCORD OF DEATH . TSIB � IB' MC�'�CSRTYBY � . � . � . . . . . � theC_qcoordlug to the reoorde of the Oibeoa County Dapsrtmeat o! aaelth, , . .. Hff88RT 9�ILLIAM 8LiI8 � � ��.Disd oa��05%13/2000 at� 2:SOAM � � � � � � � � � � ' �=�� � ��� � �� �Qibson deneral Hospital � � �1806 8herman Drive � , ., .. � :PYinCBtOiI IN 47670 � .. , . �. ... ..,..�...... .: . . ....... .....__. ._. ........ ........ . ... . . . . . .. . . : `� e�a£'�death�: �� 81 Yeare Bax� M � . ... .:1!S . � .... . ........ .... .. . . � .,::. : .. . . , :._. . .�. _. . . � . . . . . . . . . . . . �NnY1Ye1,8Eat'a� Married Colon� White � Ceuee o! deeth� Poozly Defferentrated Adeno Carcinoma of Proetate, ' _. (3 yeare) Cognitive Diaorder (Dementia) . ..�. � :�::..:�: �.:� �. Bone [dataetaeae . .,, . . ... �. .:. .. ' 8igasd.by� • William R. Wells, MD � � � � � � ��� S1U N.Main St. � � � � � � � � �Prinoeton IN 47670 �� ' - - ' .:�:4 . _ � . . . . .. . . . Plnoe'oY=burial Map1e tiill or._samoval.,. -�� ��' - �'. � �- � Princeton IN 47670 � � � � : � � . ...:._.; :-.. _ . : . . 'Dat9�ol��buridl�e 05/16/2000 _ � ..�v��PUaOrel�.tiamei Colvin Funeral Home, Inc. . � - �� � 425 N. Main 6t. � �� .. , °. . .. •. ,r;l�icatwa zx •�c�o .� .. . . . . . .. . . . . . . . .. . � . . 3lgned. by � /'�'!".c- C.� I��tu-°F+���.l�P��Q . ._ _ . _ . . . .. . ; . , � .:�. �..�.:�:.. . ,. . . . _ . . . . ....:[ : . �' ' " ��"' �°� � ` ' Gibeon' Countp Health.�COramiaeioneY :'..:'. � . . . . ....... . _ . ... . . . . . . . . .. . . � .:.�.�:�� .::::.::. ... : . ..: � . . . . . ... ... ... . . .,_ .. . � . : . . . � .. ..... . .. ..5.6.`p_�. :. ..�...: . . . . ._ . . .. .. '"� "� ",. � � PririCetOri'�InQidnd � 'OT/27f11 .; " ' . . ' . .. .. . .. :. . ... . . . .. . ..:..... .: ...� . . _ .. ". . . . Addrea6-..._"_ ":_ . :: . Dete ReCOriiesl� locally in Book No ['..i�a�,.�S.'� nnv,.zo _ _ ... '• �.�r}�eF I� PNSI � . .. . . � � . I . .. . .. . .... ... .. 13 Page No. 116 Filed: 05/19/2000