Death Certificate - Kinser, William Eugene_10/20/2003GIBS� COUNTY DEPARTMENT.HEALTH
800 S. Prince St.
Princeton, Indiana 47670 � /
812-385-3831 ��
RECORD OF DEATH
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THIS IS TO CH&TIPY
that according to the recorda of the Gibsoa County Department of Health,
WILLIAM EIIGSNS KZN3BR
Died oa O1/31/1999 at 2:OOAM
Residence
614 East Boradway St
PrinCetOn, ZN
Age at death . 67 Years Sex: M
Marital Statue: Married Color: White
Cause of death: Acute Myocardial Znfarction
Manaez of death: Natural
Signed by: Paul V. Banning, M.D.
Welborn Clinic
Princeton IN 47670
Place of burial Maple Hill
or removal:
Princeton IN 47670
Date of burial: 02/02/1999
Funeral home:
S E A L
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
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Signed by � G� i�<%uNi/��
Gibson County Health Co issioner
Princeton, Indiana 10/20/03
Address Date
Recorded locally in Book No. 13 Page No. 82
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Filed: 02/03/1999
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