Death Certificate - Lutz, Donald L_10/25/2000, GIBSON �UNTY DEPARTMEN�F HEALTH
S00 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS'TO CFRTZFY
that according to the records of the Gibeon County Department of Health,
DONALD L. LUTZ
Died on 06/06/1999 at 12:52PM
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 70 Years
Marital Statua: Married
Cauae of death:
Signed by:
Sex: M
Color: White
Squamous Cell Carcinoma of the Lung, 2 years
William Houser, M.D.
611 Harriet
Evaneville IN 47710
,I Place of burial Fairview Cemetery
or removal: RR # 2
Princeton IN 47670
Date of burial:
Funeral home:
S E A L
06/10/1999
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by 47/�`��"• ��a'�
Gibson County Health missioner
Oakland City, Indiana 06/14/99
Address Date
Recorded locally in Book No. 13 Page No. 96 Filed: 06/14/1999