Death Certificate - Heuring, George H_5/4/1983Rh'CpKD UF DEATH �
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Gff�SON COUA'TY llEPAl,'CMENT OF HF:ALTH
. � YRINCETON, (NDIANA .
't9115 IS'1'O CERTIFY, that our rewrds show ' GEOitGE }I.. HE11�-;1NG ' died
'--•�/�%�'2___a� 3�3�P�? Gib. Gen_Hosp. Princeton, .Ind.
mm�th day year hour of death �'street, hospital, rural
A�,�e xt. U'eath_ E�' —_Sex_ Male _�lor whi.te M�iritul Status Mar1�] ed
qeare - write whether married or aingle
R;rocardial infarction
Prim:iry- c:m.e of death given was _Z ____
_ ----Harol.d G. Pei;itjean,- M1; Haubstadt, Ind.-- ----- - -----
Si�tr.d by--- ---- - ----'--- _
physician or coroner address
f'lace of burial or removal____ Nlalnut Hill____ Ft. Branclt��tld.___ _
name of cemeten• address
�2 6 82
Dat�� nf burial _ Stoti�hill___F't._Brat;ch,__If?3. ________
• F\meral Director � addresa
tiEAI.
�° /
�j(� ��LO�!'�'t G�. `�� • �`',.?J
Signed __ _
Gibson County Health Commissinner
Qakland City, Ind. 12/F,/E?
- addrraa. ----- date
!iecorded locally in book No.. �� —Page No. $� Filed: ''<���P� — ---