Death Certificate - Hollen, H Earl_10/1/1985RECORD OF DEATH � �
GIBSON COUNTY DEPARTMENT OF HEAL'I'H
PRINCETON, INDIANA
TffiS IS TO CERTIFY", that our records show H' ��' �t'r'�
0
3/ 28/ 1972 at7:05 A.M. Gibson General Hospital Princeton, In.
month day yeat hour of death street, hospital, rural
Age at Death �l Sex �`�e Color �l� Marital Statuc �ried
years write whether married or single
Primary cause of death given wa� ���atory Failure
Cerebrovascular Accident
Signed by �vid Lindauer, M.D. Princeton, In.
physician or comner address
Place of burial or removai Colimibia Church Princeton, In.
name of cemetery address
Date of burial 3/30/72 Kendall Princeton, In.
�neral D'uector address
SEAL
s;�nea Gtlr'Y/`a"�'i���e•�,?!
Gibson Connty Health 'oner
Oakland City, In. 10/1/85
- addreas date
Recorded locally in book No. 8 Page IQo.49 �1�: 5/8/72