Death Certificate - Hale, Jesse E_8/20/1991� �
GISSUN COUI+I�TY DEPAP.TMET7T OF
300 S. Prince St.
Princeton, Indiana 47670
312-385-3831
�
RE CORL) OF DE ATH
HE RLTH
THIS IS TO CERTIFY
that according to the records of the 6ibson County Department of Health,
JESSE ERVIN HALE
Died on 02/04/1991 at i0:00 A.M.
Car
870 East Broadway
Princeton IN 47670
Age at death: 77 Sex: Color_ White Marital Status: Widowed
Cause of death: Adenocarcinoma of Lung , 2 years.
Signed by: Richard D. Hickrod, Coroner
425 N. Main
Princeton IN 47670
Place of barial Fairview Cemetery
or removal= RR # 2
Princeton IN 47670
Date of burial: 02/08/1991
Funeral home: Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
S E A L
Signed by f.�I/i��l�n_?���_ ,/oY�
Gibson County Health�mmissioner
Oakland City, Indiana 07/10/91
Address Date
Recorded locally in Book No. 2 Page No. 4 Filed: 02/il/1991