Death Certificate - Schrodt, Charles Winfred_5/3/2001GIBSON, �UNTY DEPARTMEN�OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
CHARLES WINFRED SCHRODT
Died on 07/30/2000 at 4:20PM
Gibson General Hospital
1808 Shezman Drive
Princeton IN 47670
Age at death . 71 Years Sex: M
Marital Status: Married Color: Whiute
Cause of death: Lymphoma, 2 years. Congestive Heart Failure, 6 months
Hypertension, 27 years.
Signed by
Place of burial
or removal:
Date of burial:
Funeral home
S E A L
Blake Titzer, D.O.
410 North Main Street
Princeton IN 47670
Maple Hill
Princeton IN 47670
08/02/2000
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton ZN 47670
Signed by ^�" -- G'��""`"�'��
Gibson County Healt—�o�nissioner
Recorded locally in Book No. 13
0
Princeton Indiana 04/30/O1
Ad ress Date
Page No. 123 Filed: 08/03/2000
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