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Death Certificate - Richeson, Harold L_10/31/2003GIBSON �UNTY DEPARTMEN�OF HEALTH 800 S. Prince St. Princeton, Indiana 47670 812-385-3831 RECORD OF DEATH THIS IS TO CBRTIFY that according to the records of the Gibson County Department of Health, HAROLD L. RICHSSON Died on 07/O1/2000 at 1:45 DM Gibson General Hospital 1808 Sherman Drive Princeton IN 47670 Age at death . 62 Years Marital Status: Married Sex: M Color: White Cause of death: Adeno Carcinoma Metastatic, 1 1/2 years. G.I. Orgin Herpes Zoster Left T 4, Thrombocytopenia Signed by: William R. Wells, hID '10 N.Main St. Princeton IN 47670 Place of burial Augusta Cemetery or removal: Augusta IN Date of burial: 07/03/2000 Funeral home: S E A L Lamb-Basham Memorial Chapel 226 B. Washin4ton Oakland City IN 47660 Signed by � G' /r°"""'/��/ Gibson County Health Commissioner Princeton, Indiana 07/11/00 Address Date Recorded locally in Book No. 13 Page No. 121 Filed: 07/11/2000