Death Certificate - Harvey, Paul Joseph_1/21/1999GIBSON �UNTY DEPARTME�OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
� 812-385-3831
RECORD OF DEATH
0
THIS IS TO CERTIFY
that according co the records of tne Gibson County Department of Health,
PAUL JOSEPH HARVEY
Died on O1/07/1999 at 10:45pm -
Wirth Regional Hospital
Hwy 64 West
Oakland City IN 47660
Age at death . 79 Years
Marital Status: Married
Cause of death: C.O.P.D.
Signed by: Kashif Z. Iqbal
P.O. Box 266
Oakland City IN
Place of burial I.O.O.F.
or removal:
Date of burial
Funeral home:
S E A L
Sex: M
Color: White
Francisco IN 47649
O1/11/1999
Lamb-Basham Memorial Chapel
226 E. Washington
Oakland City IN 47660
� r } � � d�',ZJ
Signed by ���€'"rna�'OJ,�P
Gibson County He th Commissioner
Oakland City, Indiana O1/21/99
Address Date
Recorded locally in Book No. 13 Page No. 81 Filed: Ol/21/1999