Death Certificate - Harmon, Maude_10/4/1966Locar. �
RECORD OF DEATH
CITY DEPARTMENT OF HEALTH
Pxr�cETO�, r�ni��*a
�
THIS IS TO CERTIFY, that our records show Glenn Harmon died
October 25 1960 at_-8:OOArI, 60'i E, Oak. Princeton, Ind.
� mon;h day year hour of death strnet, hospital, �rursl
Age at Death�—Ser Ma�Color Co1 orPd T4 Tri a�
� ' }�ears write whether married or single �
Primar,y cause of death given «•as Myocarditis, Chronic
SignedUy John K. Fo1ck. M.D. Princeton,'Indiana
� , � physician or coroner addmss �
Place of burial or removal Sand Hi1Z • Princeton, Indiana
� name of� cemetery addmss
Date of burial 10-27-60 � Colvin ::R• Son Mnrtna� PrinnPt�n� Tnc�iana
, Funerai Director . �' ddress �
Filed: 1U-25-60 c/� ��%� '�• /
SEAL �. ' � Signed ,(J, �Y� . «_�s�,..�" ...o , �h � Secy.
� • � �. . .: •..
Recorded locally in book Nv: 7 Page No. 19