Death Certificate - Smith, Harry W_8/28/2000- - -.. �
GIBSON COUNTY DEPARTMEN�OF HEALTH
' ce St
800 S. Prin • �
Princeton, Indiana 47670 �J �
812-385-3831 V
�J
RECORD OF DEATH
�
A�� 2 8 2U0�
G�g$ON
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Healt ,
HARRY W. SMITH
Died on OB/21/2000 at Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death _ 78 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: F`Cornary Artery1DiseasetioDiabetes1Mellitus, type II
Sigaed by: David D. Christeson, NID
6700 Darmstadt Road
Evansville IN 47711
Place of burial Walnut Hill Cemetery
or removal:
Ft. Branch IN 47648
Date of burial:
Funeral home:
S E A L
OB/25/2000
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
��� � ����
Signed by
Gibson County Health Commissioner
Princeton Indiana 08/28/00
Address Date
Recorded locally in Book No. 13 Page No. 125 Filed: OB/28/2000