Death Certificate - Miskell, Charles W_7/20/2010GIB�ON COUNTY DEPARTMEN�F HEALTH
800 S. Prince St. �
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CBRTIFY
that according to the records of the Gibaon County Department of Health,
CHARLES W. MISK$LL
Died oa 06/11/2003 at 5:17A.M.
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 82 years
Marital Status: Married
Sex: M
Color: White
Cause of death: Renal Failure, Longstanding Diabetes Mellitus.
Manaer of death: Natural
Sigaed by: Paul V. Banning, M.D.
Welborn Clinic
Princeton IN 47670
Place of burial I.O.O.F.
or removal:
Princeton IN 47670
Date of burial: 06/14/2003
Funeral home:
S E A L
Colvin F�neral Home, Inc.
425 N. Main St.
Piinceton IN 47670
Signed by �„�� �
Gibson Coun� th� Ss � r
xecorded locally in Book No. 14
r,as: za
(7,05)
Princeton, Indiana 07/09/10
Address Date
533987
Page No. 64 Filed: 06/16/2003