Death Certificate - Friedman, Sylvester Leopold_3/23/1977RECORD OF DEATH •
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GIBSON COUNTY DEPARTIIE\T OF HEALTH
PRINCETON,ItiDL9NA
THIS IS TO CERTIFY, tliat our records show�YT,VESTER LEOPOLD FRIEDN�AN died
Aug. 20, 1965 at 1:lOPNi RR 3 Owensville, Ind.
month day ceaz hour of death street, hospital, rural %
9ge at Death 2� Ses �' Color—�' llarital Status M3rried
�-ears write a•hether married or single
Primary cause of death given was Basal skull fracture-sudden
Signed by Robert J Wade, Coron�r Haubstadt�7rr1.
phpsician or coroner address
Place of burial or remocal Holy Cross Ft Branch Ind
name of cemetery address
Date of Uurial 8/23/65 ��lade FuneralHome Haubstadt. Ir�d.
Ftineral Director address
SEaL
�i'��/ �J%l��� (/'. ��-�"I ( �,U
Signed � � �
Gibson County Health Comcrossioner
Oakland C;ty, Ind. 3/21/77
address date
8 2 " 6
Recorded locally in book ?�TO. H-5� 1'age No.—�iled: � '/ 5