Death Certificate - Heldt, Willis Erwin_12/22/1993% � ����
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c�z�soN couiv2y ����J�arz•rrr��rJ�, or �-iL;�L.rx
8U0 S. Prince St.
Princeton, lndiaila 47670
812—;sti5-3831
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REC�OR]� O.L-' DJ=:A"11-I
THIS IS 'CO CF.RTII'Y
that according to the records of the Gi.bson County llepartment oi Health,
WILLIS EHWIN HH'LllT
Died on 11/2:i/].960 at 4:30am
Residence
RR ;i 2
Ft. Branch iN 47648
Age at death •�9 Years Sex: M
Marital Status= Married Colnr: k'iiice
Cause of death: Henal Carcinoma (] �rearj �vith Pietastasis of Vertitral
Column
Signed by: Harold Petitjean, �•Ill
Haubstadt ZM 47639
Place of Uiiri.al \orth View Cemetery
or removal:
Eiberfeld I\ 47613
Date of burial= ll/26/1960
Funeral home: Volkman Funeral Home
S � A L
t;lberfeld IN
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DEC 2 � 1993
�AUDITOR ° s
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Signed by _ ___�____�'��C'•__._ `
Gibson County Health ommissioner
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Recorded locilly in Book No. 49
Uakland City,_.liidia�ia_ 1"2/UCi/9:i_
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Address Date
P��e i�'o. 127 Filed: 06/16/196
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