Death Certificate - Hasselbrink, George Charles_2/28/1980. -� �' , �
izr.couu or nF,�1•E�
�
GIBSON COUNTY DEPARTMLri'T OF HGALTH
PRINCETON,INDIANA
TIiIS IS TO CERTIFY, that our recorde ehow GlORGE C}I/1RLE5 HAS.,ELBRINK ��,.i�
2�23�8� nt 9=25��T 1t8 S. Ma.in Oakland City� Ind. _
month day yeat hour of denth street, hoepitnl, nirnl
Age at Desth 82 Sex M' Color 'm' rlarital Statu� 6iarried
years write whether married or single
Primary cause of death given �vas Cardiac arrest
Signed by Howard (V. Ropp, DO Oakland .City, Ind.
phyroician �or coroner addresa
Place of Uurial or.removaL Montgomery Oakland City, Ind.
name of cemetery nddmss
Date of buri�1 2�26/$0 Corn b9ortuary Oakland r.; ty rn� _
Flmeral Director addreae � �
1;
.�
SEAL
. �,/� 'c � /� ��
�G���,;=CG. ��l-:�,,.< <
SiBne /%�
Gibson County Health Co iasioncr
Oakland City, Ind. 2/28/80
addrees clate
Recorried locally in book No. 10 page No . 6 F`;ted: 2�28�80 —
