Death Certificate - Anderson, Roger J_2/20/2002GIBSON C�.JNTY BEPARTMENT � 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,
ROGER J. ANDERSON
Died on 09/09/2001 at 7:04pm
Wirth Regional Hospital
Hwy 64 West
Oakland City IN 47660
Age at death . 74 Years Sex: M
Marital Status: Married Color: White
Cause of death: Coronary Artery Disease,
'I�pe II Diabetes
Signed by:
Place of burial
or removal:
Lawrence Judy, M.D.
421 Chestnut St.
Evansville IN 47713
Providence Cemetery
Francisco IN 47649
Date of burial: 09/13/2001
Funeral home: Corn-Colvin Funeral Home, Inc.
323 N. Main Street
Oakland City IN 47660
Signed by "'""_ ���°``�����""`�
Gibson County Hea th Commissioner
S E A L
Recorded locally in Book No. 14
Princeton, Indiana 09/18/Ol
A dress Date
Page No. 21 Filed: 09/18/2001