Death Certificate - Gieseke, Joseph H_6/28/2002G•ON COUNTY DEPARTMEI'.OF HEALTH
800 S. Prince St.
Princeton, Indiana.47670
812-385-3831
RECORD OF DEATH
THIS IS TO CHRTIFY .
that according to the records of the Gibson County Department of Health,
JOSEPH H. GI$SSR$
Died on 06/15/2002 at 5:20AM
Holiday Manor Nursing Home
305 North 6th Ave
Princeton IN
Age at death . 91 Years Sex: M
Marital Status: Married Color: White
Cause of death: Congestive Heart Failure
Signed by: Pdul V. Banning, M.D.
Welborn Clinic
Princeton IN 47670
Place of burial Decker Cemetery
or removal:
Patoka, IN 47666
Date of burial: 06/19/2002
Funeral home:
S E A L
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by
,�� G ���,(��i
Gibson County Health Commissioner
Princeton, Zndiana 06/20/02
Address Date
Recorded locally in Book No. 14 Page No. 41 Filed: 06/20/2002