Death Certificate - Richardson, Harold_12/17/1992�
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300 S. Prince St.
Prince'ton, ?ndiana 476'lG
312-385-3531 .
RECURCJ OF DE�TI3
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
HAROLD VERN RICHARDSUN
Died on 11j29/799`[ ai 4:43pm
Gibson Generai Hospii.al
1808 Sherman Drive
Princeton IN 47670
Age at death . 70 Years Sex: M •
Marital Status: Married Color: Whi'te
Cause of death: Pulmonary Embo!is
Signed by: Chester 6urkett, M.D.
P .0. Box. 550
Poseyville IN 4%633
Place of burial Maumee Cemetery
or removal: kR # 1
:Jwens�iil!e IM 4�G55
Date of burial: 12/02/1552
Funeral home: Holders Funeral Home of
Gibson County, Inc.
P.O. Bor. 518
Owensville IN 4766�
S i A l.
S i qned by -- --�(�i�ir72 ,.fr. ____ ii1,�_--
Gibson County Health C nissioner
Uak I and C i ty, I nd i ana____ 12/07/92
Address Date
Recorded locally in Book No. t2 Fage iJo. 52 Filed: 12/07/1992
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