Death Certificate - Muncie, Rex F_2/13/1998GIBSON �UNTY DEPARTMEN�OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
TH25 IS TO CERTIFY
that according to the records of the Gibson County Depastment of Health,
REX F. MUNCIE
Died on 02/OS/1998 at 10:02AM
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 83 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Uremia (Renal Failure), 1 week
Polycystic Kidneys, many years
ASHD with CHF
Signed by: William R. wells, MD
510 N.Main St.
Princeton IN 47670
Place of burial Alexander Mem. Pk. Crematory
or removal:
Date of burial:
Funeral home:
S E A L
Evansville IN
02/12/1998
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by d'�/�'��'�1��`�.'''�'�?
Gibson County Health Commissioner
Oakland City, Indiana 02/11/98
Address Date
Recorded locally in Book No. 13 Page No. 58 Filed: 02/11/1998