Death Certificate - Hardiman, William C_4/15/2004�
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G11iS(�N C;UUNTY DEPARTMENT OF HEALTH
800 S. Prince $t.
PrinCeton; Indiana 47670
812-385-3831
RECORD OF DEATH
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T829 19 TO CBRTZPY
that accbrdirig to the recorde o! the 6lbsoa County Departmeat of 8eaith,
oPILLIAM C."TSDDY" HARDZMAN
Died oa 12/14/2000 at 9:95AM
Gibeon General Bospital
1808 Sherrtan Drive
Princeton IN 47670
Aqe at death . 82 Years 9ex: M
Merital Status: Married Color: Black
Cause o! death: Urosepsis, 24 Hours.
8lgaed by: Lance Payton, M.D.
410 North Main St
Princeton IN
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Place of burial Sand Eiill Cemetery
or removal:
Princeton, IN 47670
Date of burial: 12/18/2000
Funeral home:
S fi A L
Colvin Funeral iiome, Inc.
925 N. Main St.
Princeton ZN 47670
: • �„ �, �„ i���r- �'.�'
Signed by - � -
Gibson County Health Co�niseioner
Princeton, Indiana 12/29/00
Address Date
ReCOrded locally in Book No. 13 Page No. 134 Filed: 12/29/2000
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