Death Certificate - Harmon, Roderick Allen Sr_8/14/1998GIBSON CO�NTY DEPARTMENT O�' HEALTH
800 S. Prince St. �.
Princeton, Indiana 47670
812-385-3831
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RECORD OF DEATH
THIS IS TO CERTIFY .
that according to the records of the Gibson County Department.of Health,
RODF.,RICK ALLEN HARMOId, SR.
Died on 03/18/1997 at 3:54PM
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 74 Years Sex: M
Marital Status: Married Color: White
Cause of death: Cerebrovascular Accident
Atrial Fibrillation
Aortic Valve Replacement
Signed by:
Place of burial
or removal:
Date of burial:
Funeral home:
S E A L
Quentin B. Emerson, MD
802 E. Oak St. P.O. Box 185
Ft. Branch IN 47648
Maumee Cemetery
RR # 1
Owensville IN 47665
03/21/1997
Holders Funeral Home of
Gibson County, Inc.
P.O. Box 518
Owensville IN 47665
Signed by �vl'�/'�'�'tlG�. '�2��.�%
Gibson"County Health mmissioner
Oakland City, Indiana 08/14/98
Address Date
Recorded locally in Book No. 13 Page No. 35 Filed: 03/31/1997
: