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Death Certificate - Greubel, Donald Ray_1/29/1991- a GSI3SON COUNTY Df?PARTMENT 800 S. Prince St. Princeton, Indiana 47670 812-385-3831 R E C O R D O F D E A T H . O F HEALTH THIS IS TO CERTIFY that according to the records of the Gibson County Department of Health, DONALD RAY GREUBEL Died on O1/10/1991 at 8:35pm ' 20� Third Ave. Haubstadt IN 47639 Age at death: 59 Sex: M Color: White Cause of death: Bronchogenic Carcinoma Signed by: Jeffrey Selb�, `1.D. 421 Chestnut Evansville IN 47711 Place of burial St. Peter & Paul or removal: Haubstadt I\ 47639 Date of burial: O1/14/1991 Funeral home: S E A L Wade Funeral Home 119 Vine Street Bo� 237 Haubstadt I\' 47639 Marital Status: Married - � /%.:�� .: '�.` , :�Y�... `. " ..i�L.>rc":�: Si gned by _ `''`� ✓r � -:n' � �', .: � /I4 Gibson County Health Cortunissioner Oakland Citv, Indiana O1/22/91 Address Date Recorded local!y in Book \o. !2 Page �o. 2 Filed: O1/22/1991 - � � GIBSON COUNTY DZ:PARTMENT OF 800 S. Prince St. Princeton, Indiana 47670 812-385-3831 RECOR:D OF DEATH HEALTH lJ' � � � TRIS IS TO CEI2TIFY that according to the records of the Gibson County Department of Health, DONALD RAY GREUBEL Died on O1/10/1991 at 6:35nm ' 205 Third Ave. Haubstadt IN 47639 Age at death: 59 Sex: M Color: W}iite Marital Status: Married Cause of death: Bronchogenic Carcinoma Signed by: Jeftrey Selb�, i1.D. 421 Chestnut Evansville IN 47711 Place of burial St. Peter & Paul or removal: Haubstadt I\ 47639 Date of burial Funeral home: S E A L O1/14/1991 Wade Funeral Home 119 Vine Street Box 237 Haubstadt I:� 47639 ,.. . /i„ � ,: . ..... . : . ... . . „ �,.,�;�'f✓�:,✓rr.j�,-•, '�,�:.[J�;:r;.s: Slgil2a t1V -- — ---- --- Gibson County Health Commissioner Recorded locally in Book h'o Oakland City Indiana O1/22/91 Address Date 12 Page No. 2 Filed: O1/22/1991 C�136oIZS60 . 6130�130�0