Death Certificate - Rembe, Dennis W_4/26/1982• RECORD OP DEATH ,�
..�
GIBSON COUNTY D�PARTMENT OF HEALTH
PRINC�TON, INDIANA '
THIS IS TO CERTIFY, thnt our records show nF�yNTS w_ r�r1nAF died
2/9/80 ,t 5:20AM Gib. Gen.Hosp. Princeton, Ind. `
month day _ year hour of death . street, hospital, rural �
Age at Death 9� �ex M' Color �h'Marital Sfatus i�arried
� yeara . write whether married or single
Primary cause of death given
A-therosclerotic heart disease
Sisned by James F: Peck, M.D. . Princeton, Ind.
physician or coroner addresa •
I.O.O.F.. Francisco, IMd.
P11cc of burial or removal ___
name of cemetery
2/12/80 Kendall
Date of burial _ _
Funeral Director
address
Princeton, Ind. •_ � .-
address
, . ��_1-d�'`�.' .,. `�=�- . � ' �� .� ��G. '�:(t.%,=t�'��.�'j�
: .,-:..�.;:' !/�/
SEAL ;": w: : =" Sign .
" �� - "i_t.k �� . ' Gibson County Health Com 'ssioner
' - ' �� "'� Oakland City. ,Ind. 2/15/80
y> .
' .:ir�," '� nddreaa � dnta
:;._:`:;;�� � ' io 4 2/i5/8o
P.ecoi4led-locally in.book No. ' Page No._ �led: ,