Death Certificate - House, Elmer E_2/19/2002.
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GIBSON �UNTY. DEP�ARTME�O� HEALTH
, _:800 S. Prince St. ,
' Princeton,•Indiana 47670 .
812-385-3831 �
RECORD OF DEATH
THIS 25 TO CERTZFY ,
that according to the records of the Gibson County Department of Iiealth,
ELMER E. HOUSE
Died on O5/28/2000 at 4:30AM
Residence
RR # 1, Box 173AA
Oakland City IN 47660
Age at death . 54 Years Sex: M
Marital Status: Married Color: White
Cause of death: Lung Cancer (unknown)
Signed by:
Place of burial
or removal:
Kashif Z. Iqbal
P.O. Box 266
Oakland City IN
Allendale Cemetery
Allendale IL
Date of burial: OS/31/2000
Funeral home:
S E A L
Ingram Funeral Home
218 W. Main Street
Allendale, IL
Signed by � G °`K��" "L
Gibson County Health Commissioner
Recorded locally in Book No. 13
.
Princeton, Indiana 06/02/00
Address Date
Page No. 119 Filed: 06/02/2000