Death Certificate - Page, Leonard_11/21/2000` GIBSOiCOUNTY DEPARTM�T OF HEALTH
SOO S. Prince S
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTZFY
that according to the records of the Gibson County Department of xeal
LEONARD E. PAGE
Died on 10/28/2000 at 8:27 AM
Gibson General Hospital
1808 Shernian Drive
Princeton IN 47670
Age at death .
Marital Status:
77 Years
Married
Sex: M
Color: 4ihite
Cause of death: Ventricular Tachycardia, 5 days. Ischemic
Cardiomyopathy, 5 years. Congestive Heart Failure, 5 years.
Arteriosclerotic Heart Disease, 10 years. Chronic Obstructive
Pulmonary Disease. Interstitial Lung Disease. Pulmonary Fibrosis.
Signed by: Krishna Murthy,MD
105 N.2nd
Princeton ZN 47670
Place of burial I.O.O.F.
or removal:
Date of burial
Funeral home:
S E A L
Francisco IN 47649
10/31/2000
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
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NOV 2 0 2000
GIB/�NTY AU�
Signed by � G'�����/'�(% —
Gibson County Health C mmissioner
Princeton, Indiana 11/20/00
Address Date
Recorded locally in Book No. 13 Page No. 130 Filed: 11/09/2000
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