Death Certificate - Beloat, Robert Paul_1/22/1991a. _
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GSBSON COUNTY DEPARTM.ENT OF HEALTH
'�• 800 S. Prince St. .
Princeton, Indiana 47670
812-385-3831 '
R E C O R D O F D E AT H
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THIS IS,TO CERTIFY
that according to the records of the Gibson Coimty Department of:.Health,
. ROBERT PAUL BELOAT �
Died on O1/14/1991 at 9:30am '
Gibson General Hospital
- 1808 Sherman Drive
•' Princeton IN 47670
Age at death: 68 Sex: M Color: White
.Cause of death: Cancer - Lung, C 0 P D
Sigiied by: Arun C. Kumar, �ID
105 N. 2nd Ave.
Princeton IN 47670
Place of burial White Church Cemetery
or removal:
Marital Status: Married
e
Princeton IN 47670
Date of burial: O1/17/1991 �
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Ftmeral home::-::_ ::.: °
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Colvin Funeral Home, Inc.:-..
" 425 N. Main St. :. ' .
� "� Princeton IN 47670 I�
Signed by �_����'tf��•itslj -
S {: Gibson County Health mmissioner
'SEAL.. '. - -
': �"-` .:. Oakland`CitY, Indiana`::.-.`�:01722/91
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_.. ... Address ..- :;':`=;;:;::,Date
Recorded locally in Hook No. 12 Page No. 2 Filed:'.O1/22/1991
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