Death Certificate - Lauderback, Harry_4/22/1999GIBSON CC�'NTY DEPARTMENT �' HEALTH ��
S00 S. Prince St. , .
Princeton, Indiana 47670 "
812-385-3831
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RECORD OE�DEATH � ,
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THIS IS TO CERTIFY ' ' , � - `' •
that according to the records of the Gibson County Department of Health,
HARRY LAUDERBACR
Died on 02/28/1999 at 12:Slam
Gibson General Hospital
1808 Sherman Drive
Princ2ton I.� �76;C
Age at death . 71 Years Sex: M
Marital Status: Married Color: White
Cause of death: COPD, Emphysema, Acute Respiratory Arrest,
Hypertension
Signed by: Bruce C. Brink, Jr., D.O.
410 N.Main
Princeton IN 47670
Place of burial Columbia White Church Cemetery
or removal:
Princeton IN 47670
Date of burial: 03/03/1999
Funeral home: Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
S E A L
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Signed by � ���'• �'��
Gibson County Fiea th Commissioner
Oakland City, Indiana 03/03/99
Address Date
Recorded locally in Book No. 13 Page No. 85 Filed: 03/03/1999