Death Certificate - Geiser, Ray R_9/5/1978\
RECORD OF DEATFjr • �
GIBSOI�� COUNTY DEPARTD'IEI�TT OF HEALTH
PRI\CETON, INDIAA'A
THIS IS TO CERTIFY, that our records sho�v RAY R. GFISER died
Z/5/�3
month day year
PM 204 S. �
hour of death street, hospitat, rural
Age at Death 5� Sex M• Color �• blarital Status �q4�r�e�
pears w-rite whether mamed or single
Primary cause of death given w�as Valvular disease of heart with h artrosh�•
Signed by Charles A. M; l l ar, m,D �z •
physician or coroner ad ress �
Place of burial or removal Wa lnut'-.Hi l l �, u�,=. „.��
name of cemetery address
Date of burial � 2�7�U'3 Colvin & Son Pr; n�eton, T��
F�nenl Director address
SEAL
s��ea
Gr�G�.�-,'-t�°� � �.�
Gibson County Health Com ' sioner
Oakland City. I�d. 9/5/78
address date
Recorded locally in book No. 5 Page No. 87 Filed: