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Death Certificate - Greubel, George V_11/14/1967' RECORD -0F DEATH ' • � . . . • _ � • . ; ' • GIBSON COUNTY DEPARTIIENT'OF. HEALTH � _ -- � . . . . . ' � . . .. PRINCETON, IRDI:4\'r� . . _ - - . � . ' � - �. ' - . . , . � . . . . . . . . . i " . . . THIS IS T0-CERTIFY, that oun records sha�c .GEORGE V'. ,GEEUBEI; died h'ovember .. 6 = 1967 ' ar�.0:30= A:14,AFi #I F.ort Branch; � Iridiana : . ., montli . � � day - :_ . � year , � _ , , .. hour of death ' _ , _ ... s[reet, hospital,, rural � •rlge at Death 50` '� Sez Male � ` 'Color ' ldhite ' �Married ' ` - . . .. . . . . }•ears.. ., � , �, � , - , ,«'rite� «�hether married� or s�ngle � , - , Myocardial•.Infarction - Primari• cause,of death' given «•a� ' - S;gaed by A.G�. Geick,M:D �.:� Fort �rarich, Indiana _" _ ' �. " . . . - Physician�:or comner � , . . _, - address`. � - '.. _ � . . � Place of burial or-remova� Holy -CT'o'ss Cemeter�. ,Fort;Sranch, Indiana _ � � � - �� name� of cemeterc •� � . " . �' '- address� - � � - - � : • _ 11=9-67 ; . _ .. . ' Date of burial T.aib Funeral Fom . '+ " , �. - . � � - � ' F�neral �Director� . - ' d r ss � � . - . �—. . � .. . -. �� . �. ,�_ `: . . ��7 . � . . . . ' ql'N . ' . . . . SEAL .F112d: 11-9-6% S�gned , �bson' Count�- Health .Comm�ssioner," . - ' � . • � - � Pr.inceton,:Indiana-•� 11=I4-67 - . _ . . . � . _ � . " . � , . � �address . . � . � . � - . - � . Date � � Becorded locally in book No.�.-�_�Page No. Q9 ' - _ _ , . . - r _.;3 � . . _ � �. : . ' _