Death Certificate - Lamar, Chester Riley_11/29/2005• Nov �2005 10�45
GIBSpN COUNTY DEPARTMENT OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
P. 02
THI6 Z9 TO CSRTIYY
chaE accor9ing Co the records of the aibso❑ Couaty Departmeat of eealth,
CHB87,'8& RIL&Y LAMp,R
Died an 12/i9/2001 at 9:30AM
Re9idence
405 B. Second St.
Hazleton IN
Aga at death � 76 Years
Marital status: Atarried
6eX: h7
Color: White
Cause oF death� Colorectal Cancer, 6 months.
signed by: Anthony Stephene,NID
801 9t. plery�s,Dr,
�ansville IN 47714
Place oE hurial Hazleton Comm Cemetery
or removal:
Hazleton IN
Date oE burial: O1/02/20J2 �
Funeral home� Colvin Funeral Home, Inc.
8 B Ta L
425 N. Main St.
Princeton IN 47670
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8igned by .�-� �- s�� L
Gibson County Health Co �iissioner
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Princeton, Zndiana 01/08/02
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Page No. 28 Filed: O1/08/2002