Death Certificate - Williams, Donald L_8/11/2003GIBS�7N COUNTY DEPARTMENT� HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH �����`� l- a�
THIS ZS TO CERTIFY
that according to the records of the Gibson County Department of Health,
DONALD LEB WILLIAMS
Died on 07-28-2003 at 6:30 AM
Residence
306 S. Stout
Princeton IN 47670
Age at death . 70 Years
Marital Status: Married
Cause of death:
Manner of death: Natural
Sex: M
Color: white �
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Non small cell lung cancer 3 months
Signed by: Daniel Shirey, M.D.
611 Harriett St. Suite L100
Evansville ZN 47710
Place of burial Columbia White Church Cemetery
or removal:
Princeton IN 47670
Date of burial: 07-31-2003
Fuaeral home:
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Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by '�"'"- G �/K��
Gibson County Health Commissioner
Princeton, Indiana OB/07/03
AddreSS Date
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Recorded locally in Book No. 14 Page No. 68 Filed: 08-07-2003
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