Death Certificate - Myers, Harold E_4/20/1994� �
GIF3SOt�1 COUNTY DEPAF2TI`1F,N'T OF' HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-3$�-3t331
R E C O R D O F D E A T H
THIS IS TO CERTIFY
that according to the records of the Gibson County llepartment of Health,
HAROLD E. MYERS
Died o❑ 04/10/1994 at 8:15 A.P1.
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 75 Years Sex: M
Marital Status: Karried Color: White
Cause of death: Metastatic Cancer of Prostate and Larynx.
Signed by: Yong Cho, ;iD
1808 Sherman Drive
Princeto❑ IN 47670
Place of burial Columbia White Church Cemetery
or removal:
Princeton IN 47670
Date of burial: 04/13/1994
Funeral home: Colvin Funerai Home, Inc.
425 N. Main St.
Princeton IN 47670
S E A L
Signed by _ �'�Y��"�'• •�''�
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Gibson County Health 6{mmissioner
Oaxland Citv, lndiana 04/18/94
Address Date
Recorded Iocatly in Book Vo. 12 Page iYo. 89 Filed: 04/18/1994
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