Death Certificate - Pfeiffer, Leo Henry_5/28/1978RECORD OP D�ATH �I- __�
GIBSON COUNTY DEPARTMENT OF H�ALTH
PRINC�TON,INDIANA
�
THIS IS TO C�RTIFY, Lhot our recorda show `I+EO HENRY PFEIFFER died
�/15/78 ;�t 10:30pM Haubstadt, Ind.
month dny yenr hour of death etreet, hospitat, ruml
Age at Death' �2 Se�� M' Color �' 7�arital Status M3Y'ried
� ycare . � write whether marrled or eingle
Primnry cuuse of det�th given wus Coronary thrombosis
Signed by Harold G. Petitjean, MD Haubstadt, Ind.
phyeiciun or coroner nddrees '
Place of burial or removal Sts. Peter & Paul Haubstadt, Ind.
name of cemetery addmes
Datc of buriat 5�17�78 Wade Funeral Home Haubstadt� Irr3
. I4meral Director � _ � nddreae .
� ��i ( ��
.� � �
SEAL � Signe
. Gibson County Health Commiesioner
OaklandCitv. Ind. 6/8/'%8
naaress � . , anle
ltecorded locally in boolc No. H-�ge No. �'3 Ft�ea; 5/19/78
• ..
n
J _
;
i�
�