Death Certificate - Hollen, John L_11/19/1993r
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G I B S O N
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COUNTY I��:PAR1'MENT
800 S. Prince St.
- Princeton, Indiana 47670
812-385-3831
R E C O R D O F D E A T H
OF HF:ALTH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
JOHN L HOLLEN
Died on 06/27/1980 at 11:27A
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 77 Years
Marital Status: �tarried
Sex: M
Color: White
Cause of death: Myocardial infarction (1 hr)
Signed by: James F. Peck, M.11.
Princeton IN 47670
Place of burial White Church
or removal:
Princeton IN 47670
Date of burial: 06/30/1980
Funeral home: Kendall Funeral Home
S E A L
520 S. Mai❑
Princeton IV 47670
Sioned by _ ����� .+�'.f�
Gibson County Healt Commissioner
Oakland Citv, Indiana 11/18L3
Address Date
Recorded locally in Book No. Page No. 15 Filed: 07/02/1980
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