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Death Certificate - Hyneman, David F_5/16/2003GIBS�iV COUNTY DEPARTMENT� HEALTH 800 S. Prince St. Princeton, Zndiana 47670 812-385-3831 RECORD OF DEATH THIS IS TO CERTIFY that according to the recorda of the Gibaon County Department of aealth, DAVID F. HYNEMAN Died oa OS/04/2003 at 11:SOPM Gibson General Hospital 1808 Sherman Drive Princeton IN 47670 Age at death . 73 Years Marital Status: Married Sex: M Color: White Cause of death: Cardio Respiratory Arrest, Ruptured Abd. Aortic Aneurysm, Hypertension, Diabetes Mellitus. Signed by: Bruce C. Brink, Sr., DO 410 N. Main Princeton IN 47670 Place of burial White Church Cemetery or removal: PrinCeton ZN 47670 Date of burial: OS/07/2003 Funeral home: Colvin FLneral Home, Inc. S E A L 425 N. Main St. Princeton IN 47670 ,��u,�-�- G /���l�Cj Signed by Gibson County Health Commissioner Princeton, Indiana OS/13/03 Address Date Recorded locally in Book No. 14 Page No. 62 Filed: OS/13/2003 4