Death Certificate - Cleveland, Melvin C_4/26/2016 G I BS O N COUNTY DEPARTMENT 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,
MELVIN C . CLEVELAND
Died on 10/30/1992 at 11 :04am
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death : 62 Years Sex: M
Marital Status: Married Color: White
Cause of death: Metastic Cancer of Lung (2 weeks) ,
Cancer of Lung (5 months)
FILED
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APR 2-6 2016
Signed by: William E.Dye, MD n(__
412 Main GIBSON COUNTY AUDITOR
Oakland City IN 47660
Place of burial Mt. Olive
or removal : GGGn 6-a(.R"�M 00
Od1 Mt. Olympus IN ?
Date of burial: 11/02/1992
Funeral home: Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by bit)ereCz4a! liSrAD
Gibson County Healthissioner
. SEA L
Oakland City, Indiana 11/09/92
Address Date
Recorded locally in Book No . 12 Page No . 50 Filed : 11/09/1992