Death Certificate - Davis, Robert F_9/14/1989� � ' r
GIBSON COUA'TY DEPARTMENT OF HEALTH
800 S. Prince
Princeton, Indiana 47670 �
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY,our records show Robert F Davis
Died on 04/23/1989 at 1:30pm
Gibson General Hospital
1808 Sherman Drive Princeton IN
Age at Death: 86 Sex: M Color: White Marital Status: Married
Cause of death: Pulmonary Edema due to ASHD.
Signed by: William R. 1Vells, P1.D.
510 N. Main Princeton IN 47670
Place of burial or removal: Ptontgomery
Oakland City IN 47660
Date of burial: 04/25/1989
Funeral Home:
yx�t�
Corn hlortuary
323 N. Plain St.
Oakalnd City IN 47660
Signed bY--- ��tairL1� - �-'� ------------
Gibson County H lth Commissioner
Oakland Citv, Indiana 05/02/89
address date
Recorded locally in book No. 11 Page No. 90 Filed: 05/02/1989