HomeMy WebLinkAboutDeath Certificate - Grubb, John T_11/27/1996�
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GIBSON COUNTY DEPARTMENT OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH �
� /�- D/038-a�
, .
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Sealth,
JOHN T. GRUBB
. Died on 11/24/1995 at 5:30AM
Residence
. 704 East Evans Street
. Princeton IN 47670
Age at death .
Marital Status:
Cause of death:
Signed by:
79 Years Sex: M
Widow Color: White
Massive Cerebral Disrupution,
Shotgun Wound to Head
Scott Stodghill, Coroner
304 W. Locust St.
Ft. Branch IN 47648
't .
's� Place of burial St. Joseph Cemetery
'. or removal:
Princeton IN 47670
Date of burial: 11/28/1995
Funeral home: Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
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Signed by �����"'° ��
Gibson County Hea�h Commissioner
S E A L
Recorded locally in Book No. 12
Oakland City, Indiana 11/29/95
Address Date
Page No. 130 Filed: 11/28/1995