HomeMy WebLinkAboutDeath Certificate - Hasenour, Walter G_12/7/2000•
GIBSON �UNTY DEPARTME�OF HEALTH .
S00 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THZS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
WALTER G. HASENOIIR
Died on 11/11/2000 at 7:30PM
Residence
R.R.# 1 Box 471
Ft. Branch IN
Age at death .
Marital Status:
Cause of death:
91 Years Sex: M
Married Color: White
Sepsis, 1 week, Peritonitis, 1 week.
Colorectal Adenocarcinoma.
Signed by: Jerry L. Like, D.O.
Box 188
Elberfeld IN 47613
Place of burial Sts. Peter & Paul
or removal:
Haubstadt IN 47639
Date of burial:
Funeral home:
S E A L
11/14/2000
Wade Funeral Home, Inc.
119 S. Vine Street
Haubstadt IN 47639
� ��
Signed by � G `'�""-_-' • �
Gibson County Health Commissioner
Princeton Indiana 11/20/00
Address Date
Recorded locally in Book No. 13 Page No. 130 Filed: li/20/2000