Death Certificate - Epperson, Robert Leland_5/30/1996, � GIBSON�UNTY DEPARTMENT OFQEALTH
�g�_��RB�a 800'S. Prince St. . '
�1�3 _PrincetQn, Indiana 47670
O�aQq 003p4� 812-385-3831
0�300 5oa-000Y�_ _ _ . - .. _ .
�`}p 30� - � RECORD OF DEATH
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THIS ZS TO CERTIFY '
that according to the records bf the Gibson County Department of Health,
ROBERT LELAND EPPERSON
Died on 04/12/1996 at 12:46 AM
Holiday Manor
6th Avenue
Princeton IN
Age at death . 83 Years Sex: M
Marital Status: Married Color: White
Cause of death: Chronic Obstuctive Pulmonary Disease, long term
with CHF,-recent
Chronic Renal disease.
Signed by: William R. Wells, MD
510 N.Main St.
Princeton IN 47670
Place of burial Liberty Cemetery
or removal:
Cynthiana IN
Date of burial: 04/15/1996
Funeral home:
S E A L
Holders Funeral Home of
Gibson County, Inc.
P.O. Box 518
Owensville IN 47665
Signed by 6R/(��/'G+�'�9G�. "�G�A'�
Gibson County Health mmissioner
Oakland City, Indiana 04/17/96
Address Date
Recorded locally in Book No. 13 Page No. 9 Filed: 04/17/1996