Death Certificate - Farmer, Robert Ewing_1/1/2005GIBSO�COUNTY DEPARTMENT O• EALTH
800 S. Prince St. ����
Princeton, Zndiana 47670 �
812-385-3831
RECORD OF DEATH FEB 0 1 2005
OIBSON COUNTY AU
TAIS IS TO CERTIFY _
that according to the records of the Gibson County Departmeat of Health,
ROBERT EWING FARMER
Died on OS/OS/2002 at 4;40PM
Gibson General Hospital
1808 Sherman Drive
. Princeton IN 4767G
Age at death . 69 Years
Marital Status: Married
Sex: t4
Color: white
Cause of death: Acute Myocardial infarction, 36 Hours. Coronary
Atherisclerosis, 2 Years. Type ZZ Diabetes
-Mellitus, 15 Years. Hyperlipidemia Hypertension
Chronic Obstructive Pulmonary Disease.
Sigaed by: Krishna Murthy,hID
105 N.2nd
Princeton ZN 47670
place of burial Saulmon Cemetery
or resoval:
Poseyville IN
Date of buzial: OS/11/2002
Funeral home:
S E A L
Holders Funeral Home oi
Gibson County, Inc.
P.O. Box 518
Owensville ZN 47665
Signed by
�`u � `Q".c.f� ,��
Gibson County Health Commissioner
Frinceton, Zndiana Ci/16/02
Address Date
Recorded locally in Book No. 14 Page No. 39 Filed: OS/16/2002