Death Certificate - Simmons, H G_5/3/2002GIBSON �JUNTY DEPARTMEI�,OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
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THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
H. G. SZMMONS
Died on 09/04/1999 at 8:25 AM
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 69 Years Sex: M
Marital Status: Married Color: white
Cause of death: Acute Myocardial Infarction
Signed by: Chester Burkett, M.D.
P.O. Box 550
Poseyville IN 47633
Place of burial Maumee Cemetery
or removal: RR # 1
Owensville IN 47665
Date of burial:
Funeral home:
S E A L
09/07/1999
Holders Funeral Home of
Gibson County, Inc.
P.O. Box 518
Owensville IN 47665
Signed by ��/"r/ ����'�'b
Gibson County Health ommissioner
Oakland City, Zndiana 09/08/99
Address Date
Recorded locally in Book No. 13 Page No. 101 Filed: 09/08/1999