Death Certificate - Speer, Paul_1/21/1998GIBSON C:UNTY DEPARTMENT OF HEALTH
800 S. Prince St.
Princeton, Indiana 476'7.
812-385-3831
RECORD OF DEATH
THIS ZS TO CERTIFY
that according to the records of the Gibson County Departmeat of Sealt ,
pp,IIi, MADISON SPSSR
Died oa O1/02/1998 at Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 80 Years
Marital Status: Widowed
Sex: M
Color: White
Cause of death: ���Swith CompletelHeart Block,elryear, a Hours
COPD
Sigaed by: William R. Wells, NID
510 N.Main St.
Princeton IN 47670
Place of burial Bethel Cemetery
or removal:
Owensville IN 47665
Date of burial:
Funeral home:
S E A L
O1/OS/1998
HoldeYs Funeral Home of
Gibson County, Inc.
P.O. Box 518
Owensville IN 47665
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Signed by �"r/ `�'��" ' ��~�
Gibson County Healt Commissioner
Recorded locally in Book No. 13
��� aK�h � zz� ✓
Oakland City Indiana -01/13/98
Address Date
Page No. 55 Filed: O1/13/1998