Death Certificate - Speer, Richard_1/21/1998�
GIBSON C�JNTY DEPARTMENT OF HEALTH
800 S. Prince St.
Princeton, Indiana 4767
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the recorda of the Gibsoa County Department of Healt ,
ppIII, MADISON SPEER
Died on 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 Complete1Heart Block,Clryear� 8 Hours
COPD
Signed by:
William R. Wells, NID
510 N.Main St.
Princeton ZN 47670
Place of burial Bethel Cemetery
or removal:
Owensville IN 47665
Date of burial: 01/O5/1998
Funeral home:
S E A L
Holders Funeral Home of
Gibson County, Inc.
P.O. Box 518
Owensville IN 47665
Signed by �"r/ ��� �1"��'�
Gibson County Healt Commissioner
Recorded locally in Book No. 13
� � � a K ti '1 �j 2. 2'7 ✓
Oakland City Indiana 01%13/98
Address Date
Page No. 55 Fi1ed: O1/13/1998
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