Death Certificate - Smith, Leonard_6/25/1985I:liCORD OI� llEATH � �
GIBSON COUNTY' DEPAFTrSENT OF HEALTH
• PRINCETON,INDIANA � '
'HIS IS TO CERTIFY, that our records show LEONARD H. SMITH died
12/3��81 a} 9:45AM Gib. Gen.Hosp. Princeton,�Ind. _
month dny year hour of death street, hospital, rural �
i
�ge ait Dexth 9 Gex M' Color �' Marital Status M'
yeare write whether married or single
Ventricular arrest due to acu�te myocardial infarctiRt
'rim:u•y cause of death given was— -- _
Bruce Brink, Sr. 'DO Princeton, Ind.
,igned by--- -- .
' phyaic;an or coroner address
'lace of bw•ial or removal Maple Grove Boonville, Ind __ _ '
. � . - name o[ cemetery ¢ddreys . � �
�::.eof buria1�82 Koehler Rnnnville, Tnd.
� Fh�neml Director nddresa
SEAL Signe�+ � `%���'t � � �,b
, , Gibson County Heulth Comm' oner
. Oakland City, Ind. 1/4/82
address
LF $ Z
�ecord�d locally in Fwok No.— 10 Page No. 55 �led: 1� �--
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date
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