Death Certificate - Freund, Adolph D_11/19/1991RECORD OF DEATH
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GIBSOti COU\'TY DEPAR'Ii�4ENT OF HEALTH
PRI\ CETO\. I� DIA\A
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'I'HIS IS TO CERTIFI', that our records show ADOLPH U. FREUND died
November 1. 1991 at 3:30 A.M. Gibson General Hospital Princeton Indiana
month day year hour o( death sveet. hospital, rural
Age at Death 84 Sex Male Color White �9arital Status Married
years xrite whether married or single
Pr ary cause of death given was Urinary Tract Infection---Sepsis
� Renal Failure
Signed by Yon� Cho. t4.U. Gibson General Hospital Medical Offices Princeton, Indiana
phcsicien or coroner address
Placeofburialorremoval St. Lucas Ft. Branch, Indiana
name o( ceme[en� address
Dateofburial vovember 4, 1991 StodQhill Funersl Home Ft. Branch, Indiana
Funeral Director address
SEAL
Signed P�t/VY�' �1 �,dG�r/�i.�
Gibson Countr Health Co issioner
Oakland Citv> Indiana November 12, 1991
_ address date
R�Corded locally in book \o. 12 Page \o. 23 Filed: November 7, 1991