Death Certificate - Meier, Herman Victor_6/21/1979RECORD OF DEATH � •
GIBSO\T COUATTY DEPARTMEArT OF HEALTH
PRINCETON,INDIdtiA
THIS IS TO CERTIFY, that our records sho�v HERMAN VICTOR MEIER died
5/4/75 at10:l0AM Gibson General Hospital, Princeton, Ind.
month day yeaz hour of death strnet, hospital, rural . �
Age at Death 72 Se,� male Colorwhite nfarital Status married
pears �vrite «•he[her married or single
Primary cause of death e�•en w•a� Carcinoma biliary system and liver •
R.i.Weitzel r�I.D.
Signed by
physician or coroner
Place of burial or removal Providence
name of cemetery
Date of burial 5�6�75 CoT'n MoT'tuary
F�neral Direc.or
SEAL
Princeton, Ind.
address
RR, Francisco, Ind.
address
Oakland City, Ind.
• address
O
������ <.�,�
Signed
_.--6ibsqn CounLy::Health_C missione�.��
Oakland City, Znd. 6-21-79
address date
Recorded locallp in book No. 9 Page A'o. 7 F'iled: 5-$-75