Death Certificate - Schumacher, Norman William_9/26/2013 1092875
GIBSON COUNTY DEPARTMENT OF HEALTH
800 S . Prince St .
Princeton, Indiana 47670
812-385-3831
1 RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
NORMAN WILLIAM SCHUMACHER
Died on 03/13/1994 at 2:20 A.M.
Residence
R.R. # 3 Box 148
Mackey IN
Age at death 82 Years Sex: M
Marital Status: Married Color: White
Cause of death: Multiple Organ Failure, 3 weeks
Megaloblastic Aremia, Months.
Diabetes Mellitus- Insulin Dependent.
Signed by: Gerald G. Gray, DO
Hwy 64 West FILED
Oakland City IN 47660
Place of burial Townsley Cemetery
or removal: SEPa£ 2013
Mackey IN 47654
Date of burial: 03/18/1994
Funeral home: Corn-Colvin Funeral Home, Inc. GIBSON COUNTY AUDITOR
323 N. Main Street
Oakland City IN 47660 /�JQ ,��, ��y-
Signed by " dxe C /� `�"� VrRQ
Gibson County Health Commissioner
S E A L
Princeton, Indiana 10/02/13
Address Date
Recorded locally in Book No. 12 Page No. 88 Filed: 03/16/1994
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NRA-20
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' OFD IF ALTERED'ORE'�RAEED'!NOT.VALID UNLESS CERTIFIED'BYHEALTH DEPARTMENTf