Death Certificate - Horn, Lawrence W_12/6/2001GIB� COUNTY DEPARTMEN� HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THI& IS TO CERTIFY
that according to the records of the Gibaon County Department of Health,
LAWRENCS W HORN
Died on 06/02/1988 at 6:OOp
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
age at death . s5 Years
Marital Status: Married
sex: M
Color: White
Cause of death: Myocardial Infarction (5 days)
Signed by: William Wells, M.D.
510 N. Main
Princeton IN 47670
Place of burial Immaculate Conception Cem
or removal:
Dieterich IL
Date of burial: 06/06/1988
Funeral home: Colvin Fiuieral Home, Inc.
S E A L
925 N. Main
Princeton IN 47670
j i i,3
DEG U e 2001
GIBSON COU�!T�1' AU�
Signed by 6�� �.����
Gibson County Health Cortvnissioner
Princeton, Zndiana 12/OS/O1
Address Date
Recorded locally in Book No. Page No. 64 Filed: 06/10/1988