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Death Certificate - Houglaud, Albert Hardin_7/1/1993�. �� ___ 4� '- - - � : C� - � - - - _ , ; =� ' _ - ,. - - -" = - —_ .�� -_= RECORD Or' DEATH � ` = -- ' � � � - . - , - i t_ :;, ._ , ; �-.'�.'._. �__,� ' GIBSON COUNTY DEPARTD4ENT �OF HEALTH "_'�='F:. ' :) - *� PRINCE°PON,. INDIANA , - ` . � . _ ___ . � : ; � . ., _ : _. .` ..� ,:' ... . - .. � . _.. •.... . �' _- : _.__ :r_:.-�� .. � :� _ �___. � •_' - '- '�--' - --..�. _.-. . -,.� �.__,�.�_:._:_.�.. ...: . .. .. -- - - - - ,°.:1`FIIS_IS TO CEEtTIF'Y, that our-records-show _ _ _- �died •� _= - - _ - - � -:�/�_:._-= =�:;� - _ - _ _ ... __ __ _ .: � : ::� ..��: � _ - : � - �_-._:.. N -- _ .:g�,: .. a ._`; -_..' �-month � '. .day ._.: .'�.year. ` --. � hour..of death�. �- stmet hospital,'rural--'..-', � Age at Deatl��e�Color ' _ �� , % 1 A � tA.Iti .t �' .11 � - . . - " . ....years :. ..: -� • . �� � '-" . . write whether mamed or single ' ... - .. ._-'_�__..-_. - - '- - - -- ' - ..._ ... ___ ._.._ .. -- •�' .�[, . . .. � . . �� : �.._.., - w . . . .� • J _. .� .�� f _ = Prunary=cause ;of death' given _wa�-� -� n�-� � � � � ' � """''�'t'�� ' �: � -: . __ _._. -- -- - - - - - - - i . _ , �_ _ - . -- - - - � -- - ,, , , . .._.. .� . - - - - . � ,� - - - - - - tS�_ � ` -' . ;_ � :c -�- . � -_ .' -�O' .�. •: _ - - _ _ - - �.;Sigr,ed by . -- -. _ .: i .. _ - phpsician or_comner , . --- -' � -` ' -- ": address- - - - ' - - -� -.` - --' . ' - - ' ' - '- '. = = Place. of �burial oi�eme�a _ : � -• - - " - - - � ': , __. : ..� � : �.- :. , .: � 3: `-�:name of_c eterY '_ � -- -- - - . - - ' _ .. _,., - y-/ - -� sddress; - -- - - --. .�, � -' Date of ,bun�!� S//o .3 ; 0.-u.i:ti �•wwt.e..t� �rvx�' L4� �� �,^, i� _ I - - . - � , F�nexal Dixector_._: __ ., _ . , . � , . _� ddress __, . .. . .. C � - -,i' .'-; r. � �: -_ — _ -;__:."�.: �� ..[?�:��///n/.� � SEAL� ` �. � + � . Signed--. i � _,� . `� � -- - = Gibson'-Coun Health Commissioner. _ i �:._:. � � - ' -�C " � '0 - ._ _ �Awi�,/,.r�..,' --�/ � � �� 0 �- '� � � _ '-' � __._ address _ ' _.�� � i i - ' - ' ; ; -c -_. : • � Recorded Ioca11Y in lwok No�Yage No "a � . -%� — / .2 6 3 _ . �� - _ _�_. ; _. __ - - - - - - -- . - � - - . .�- .- � , .- . . �� � - . -- -- - _ ...� . _ __ -- - - - - - -� -- - . __. . __ � '�`I _ . _ - - . ,_: _ . , . . � � � _ _�: �__ - -_ . _ .- - _-. _.: . _ ...,. - - . _ --. _ . . ._. ..� �� � � _ . . _._ . _. -� . . --. . . _ � _ . _ _. . ,___. -:: __=. � -_= =� =_ _- -_ _- _._ _- -- � -- -:-. .:-- . _ : - --- _. _- - ��� ��� `JUL 11993 %w„� ,F�' , rh�s AUDITOR