Death Certificate - Haskins, Andrew_7/27/19931
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G I B S O N
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CUtTl\TY 17�:YAR'L'M�;NT
b00 S. Prince St.
Princeton, indiana 4i670
812-385-3831
R E C O]=Z ]� O 1' D E; r� T I�:
OF H�:ALTH
�����
!JUL 2 7 1993
AUDITOR
TfiIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
ANDREW HaSKINS
Died on Ob/27/i993 at 12:40am
Forest Del Convalescent Center
1020 Vine S±reet
Princeton IN 47670
Age at death . 90 Years Sex: `1
Maritai Status: �ever i�larried Color: h'hice
Cause of death: Cardio Respiratory Arrest (immediate),
Cerebral anoxia (immediate),
Congestive Heart Failure (5 years), Emphysema/C.O.P.D.
(5 years), Chronic U.T.I.
Sio ed by: 3ruce C. Brink, Sr., DO
410 U. ^tain
Princeton iN 47670
Place of burial Columbia Wnzre Church Cemetery
or removai:
Princeton IV 47670
Date of burial: 06/28/1993
Funeral nume: Coivin Funeral i{ome, inc.
S E .1 i
42� N. ?lain St.
Prinr.?ron IV 47670
S i atl ed Uy -- —� .Y,vrH �,a�.� r,,�
Gi.bsoi�ty�Hea 1 t17/t_�ss i oner
_Uaklanci Citv, In�iana 0�14�
�lddress Date
kecurdee ioc��tt�- in Booi; \"u. i? Pa�e Vo. 67 Filed: 07/OL/'993
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