Death Certificate - Mayer, Herbert J_9/3/1987RECORD OP DE�TIi � •
GIESO\i COlitiTY DEPART�IENT OF HEALTH
PRINCETO�, IYDI:INA
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THIS 1S TO CERTIFI', tliat our records show HERBERT J. MAY'ER died ;' �
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6/9/85 1t 12:30PM RRrl Ft. Branch, Ind. ;
month day year hour of death street, hospital, rural � .
Age at Deatli � 3 Se>- rl' Color ��1h • nIarital Status Plarried
` years �srite cohether married or eingle
Primary cause of death gicen «�as__ Circulatory collapse, instant
c��ed }��. Glen O_Di�k�t159_IL,� � n��tensvi 11P.�ad_
ph}sician or cotoner address
P�ace of burial or removal St. Yete� Ps1u1 Ha1�h�cl�Ind
� name of cemeten- addre_=s
Dateofburial 6/7/85 Stodqhill Ft. Branch. Ind.
Fuzeral Director address
SE:1L
G���i� '�,�?.�
Gibson County Health Commissioner
Oakland Citv, Ind. 6/10/85
addre<_s ---da.e
I�ecorded locally in book 1To. 1� Page ho. 147 Filed: 6/10�$5