Death Certificate - Ploch, George W_6/9/1978RECORD OF DEATH
�i�IBSON COUNTY DEPARTMENT OF H�LTH
PRINCETON,INDIANA
TAIS IS TO CERTIFY, that�our records show GF.ORGE W. PI�OCH' died
`•:�' S/26/78 at 9�o5AM Gib. Gen. Hosp. Princeton, Ind.
�. '�� montL day year liour of death street, hospital, ivrnl .
-'- tlge at DeniL 77 Sex M• _Color �' MariLnl S(nfu, Marriecl
� ycura ' �vrite whetLer married or single
`. Primary cause of death given was Carcinoma of prostate
R. E. Weitzel, M.D. Princeton, Ind� . .
Signed bY
physician or coroner address
Place of burial or removal Warnock Princeton, Ind. _
name of cemetery address � �
Date of buriat 5�30/78 Colvin Funeral Home Princeton, Indo
� F4ineral Director addreas
' SEAL
� �i " ! i G � "'v-1 C �.CJ
$IgII2d
Gibson County Health Commissioner ' .
Oakland City, Indo 6/2/78
adaresa
date
Recorded locally in book No.— 9 page No. 64 F'iled: 6�1�78
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