Death Certificate - Rinsch, Joe Harmon_6/15/1987RECORD OF DI'sATII
GIBSOA' COUNTY DEPARTD4GNT OF HEALTH
PRINCF,'PON. fND1ANA
'I'HIS IS TO CER'PIFY, Lhat our records show JOE HARMON RTN H died
Mav 30, 1987nt 9:20 P.M. Gibson Genera� Hoa�ital P;nrPt�.,, Tr,_
month dny yeer hour of da�th strcet, hospitnl, rural 1
AgealDeath SR Sex Mala Color_[�i}yj.tgMeritalStntus— Marrle�7
� ycnrs wril.c whcthcr mumicd or single
Primarycauseofdeathgi�e�w❑s Metastatic small cell Carcinoma of left Lung.
Signed by Mi cha 1 (' Ki 1�a ri c-k _�,� Pri nrPtn�- Tn
physicinn ur coroncr nddress
Place o( burial or removal Shiloh Cemetery R. R. Hazleton, In.
name of ccmetcry ❑ddrecs
Dateofbur;al June 2, 1987 Colvin Funeral Home Inc. Princeton In
Funernl Director nddrevs
SEAL
Recorded locally in book No. 11 p,g� �0 39
%�) �o y���
�' i
$igned ^'4+��C'✓�'LI / e[G< <�,�
Gibson Couni.y Flculth'Com} �sioncr
G
Oakland Citv In. June 2 1987
nddresa dnte
June 2, 1987
•
•