HomeMy WebLinkAboutDeath Certificate - Holder, Donald Wayne_5/8/1992� G I B S O N
C�UNTY DEPARTME �t'
900 S. Prince St.
Princeton, Indiana 47670
812-385-3831
R E C O RD O F D E A T H
O F H E A L T H
TSIS I3 1'0 CERTIF1f
thet according to the records of the Gibson County Departeent of Heelth,
DONALD WAYNS HOLDER
Died on 12/10/1991 nt 10:48am
. Gibson General Hospital
1808 Sherman Drive
Princetoa IN 47670
Age nt death : 57 Yeers
Marital 3tatus: Married
Sez: M
Color: White
Cause of death: Acute Myocardial Infarct,
Coronary Thrombosis and Atherosclerosis,
Atherosclerotic Cardiovascular Disease
Signed by: Richard D. Hickrod, Coroner
425 N. Main
Princeton IN 47670
Place of burial Maple 8111
• or reiovel:
Princeton IN 47670
Date of burial: 12/13/1991
F�neral home: Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed bY �(�i�.�'1f�'��E'r'�:7
Gibson County Hen� Commissioner
S E A L
Recorded locally in Book No. 12
u
Oakland Citv, Indinna 12/18/91
Address Date
Page No. Filed: 12/17/1991