Death Certificate - Levers, Carl R_7/19/2010GI�N COUNTY DEPARTMEN'�F HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
I�� L K� 7:i �Z �]� T� 1: 1 I I� : i
THIS IS TO CBRTIFY
that accordinq to the records of the Gibaon County Department of Health,
CARL RICRBRT LEVBRS
Died on 10/21/2006 at 11:OSPM
The Waters
102o west vine Street
Princeton ZN 47670
Age at death . 86 Years
Marital Status: Married
Sex: M
Color: White
Cauae of death: CA Bladder with Metastatis, Renal Failure,
Hypertension, Congestive Heart Failure,
DiabeteS Mellitus.
Signed by: Bruce C. Brink, Jr., D.O.
410 N.Main
Princeton IN 47670
Place of burial Southwestern Indiana Regional
or removal: Crematory
Dale IN
Date of burial: 10/26/2006
Funeral home: Doyle F�neral Home
S E A L
520 S. Mdin Street
Prineton IN 47670
Signed by /`�%'u'GG ��•'.�`� �l� N �
Gibson County Health Commissioner
Princeton, Indiana 07/14/10
Address Date
Recorded locally in Book No. 10/200 Page No
ivan-zo
(�!a>I
533601
Filed: 10/25/2006