Death Certificate - Klusmeier, Leonard_11/12/1996cv � 9-Dc��'S c�
GIBSOP�OUNTY DEPARTMENT O�EALTH
800 S. Prince St.
Princeton, Zndiana 47670
812-385-3831
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RECORD OF DEATH
P
THZS IS TO`CERTZFY
that according to the records of the Gibson County Department of Sealth,
LEONARD KLUSMEIER
Died on 09/22/1996 at 12:23pm
Residence
306 N. Sth Ave.
Princeton IN 47670
Age at death . 67 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Multiple Myeloma (years),
Renal Failure from Myeloma Kidney,
Gastro Intestinal Bleeding,
Cardiomyopathy
Signed by:
Place of burial
or removal:
Stewart P. Smith, M.D.
801 St. Mary's Drive Suite 501
Evansville IN 47714-0529
Memorial Park Crematory
Evansville IN
Date of burial: 09/25/1996
Funeral home:
S E A L
Colvin Funeral Home, Znc.
425 N. Main St.
Princeton IN 47670
Signed by �����������a
Gibson County Health Commissioner
Oa'.{land City, Indiana 09/25/96
Address Date
Recorded locally in Book No. 13 Page No. 20 Filed: 09/25/1996