Death Certificate - Grant, Robert C_10/5/1994. . . . .� . . . . . .�. . . . . 05953
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I� VANDERBURGH COUNTY HEALTH DEPARTMENT
Room 127 AdminisUafion Building - Civic Center Complex - One Northwesf Martin Lutlier King Jr. Blvd.
IEvansville. Indiana 47708-1828 �
� CERTIFICATE OF DEATH REGISTRATION
��ji8 �ertif ie8, THAT ACGORDING TO TNE RECOHUS OF TME HEALTH DEPARiMENT
NAME ROBERT C. GRAYT
DtED IN VANDERBURGH �COUNTY INDIANA ON SEPTEMBER 02 .,�,R 1994
T{ME Of DEATH O%: ZA P.M. MARITAL STATUS ��IED SE% �LE AGE 63 RACE �ITE
ISOCIAlSECUFITY DATE OF BIRTH 06/20/1931
•
IPLACE OF DEATH ST. MARY'S MEDICAL CENTER
I PRIMARY CAUSE OF DEATH GIVEN WAS ACUTE MYOCARDIAL INFARCTION, ACUTE
DIVERTICULITIS. PERITONZTIS
!� CHOLECYSTITITS WITH CHOLELITHIASIS
PMYSICIAN OR CORONER DR. BANPOTE POOS� M.D. AUTOPSY NO
IFLACE OF BURIAL OR REMOVAL LYNNVILLE ��CEMETERY, LYNNVILLE MANNER NATURAL DISEASE
IFUNERAL HOME pEFffiERTON-BRADLEY, LYNNVILLE, IN DATE OF BUflIAlO9�O6� 199G
• CERTIFICATE NUMBER
i OR VOIUME AND PAGE 000019%7 DATE ISSUED 09/Z211994
\ I � NOT VALID UNLESS SIGN,�,ED
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VPNDERBURGH COVNTY NEAITH OFFIGEfl
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• STATE OF INDIANA, SS:
COUNTY OF GIBSON, �
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In the Gibson Circuit Court
RE ESTATE OF
ROHERT C. GRANT Docket �� Page /��
Deceesed Qi6Co/, 9Yo9- E�/- Oo��
AFFIDAVIT OF DEATH
Betty L. Grant ,beingdulyswom,
on oath says that Robert C. Grant . died on or about
the Znd dayo - , 19 94 and at the time of such death was a residentof such county
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and Ste[e. �� � 'y-''
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SubscribedOa d sworn��is � day of _ Oi'� > 191L
(SEAL) Lf<���tCU�t�:d �('�
, Clerk
Paetk Gtb5p4
PROOF OF WILL (By Subscribing Witness)
William R. Wallace ZII
sw•orn by the undersigned Clerk of the Circuit Court of Gibson County, Indiana, on oath says:
being duly
�'�(1) Affian[ is one of the subscribing witnesses to the (oregoing written instrument dated
18,
, 19 93 purporting to be the LAST �VILL AND TESTAME?`'T
OF Robert C. Grant (hereinafter called the "decedent").
(2) Such instrument was on the date thereof duly executed, published and declared by such decedent
to be the Last Nill and Testament of such decedent.
(3) At such time, such decedent was oF the full age ot twenty-one years, of sound and disposing mind
and memory, under no coercion, compulsion or restraint, and competent to devise his/her property.
(4) Such decedent signified that such instrument was his/her Lest Nill and Testament, and
duly executed same, in the presence of the subscribing witnesses thereto, namely, the afGent and
Kay Mundy
(5) In the presence oE such decedent and in the presence of each other,each of such subscribing
µ�tnesses attested and signed the same as witnesses thereto.
�� � � ��
Subscribed and sworn to before me, in witness of which, I hereunto af6x the seal of such Court, and
subscribe my neme et Princeton, Indiana, this � day of �// - , 19�y
Clerk
�
WARRANTY DEED
�
93_ s.�si
THIS INDENTIIRE WI'I'NESSETH, That Robert Grant of Gibson
County, and State of Indiana
CONVEYS AND WARRANTS
To Roberta Covalt, of McHenry, Illinois, Richard E. Grant,
�, of Wheeling, Illinois and John D. Grant of Diaon, Illinois for
the sum of One Dollar ($1.00) and other valuable consideration,
the following described REAL ESTATE in Gibson County in the State
of Zndiana, to-wit:
Lot number three (3) in Block number one (1) in the Original
Plan to the town of Oakland, now Oakland City, Indiana, more
commonly known as 322 N. Jackson Street, oakland City,
Indiana 47660. The Grantor herein agrees to pay the taxes
and assessments due and payable in 1994; the Grantees agree
to pay the tages and assessments due and payable in May,
1995 and all taxes and assessments which may become due and
payable thereafter.
Subject to any and all easements, highways, right-of-ways,
and building and use restrictions pertaining to said real estate.
The Grantor, Robert C. Grant, reserves unto himsel£ and
Betty L. Grant, and it is expressly agreed that they shall have,
for themselves, the full possession, benefit and use of the
above-described premises, as well as of the rents, issue and
profits thereof, for and during the term of their natural lives.
IN WITNESS WHEREOF, The said Robe t Grant has hereunto set
his hand and Seal this 31 day of �: ..�-� , 1993.
�^��--`-�-/ ��Z�/ ( S EAL )
ROBERT GRANT
STATE OF INDZANA )
) SS:
COUNTY OF GIBSON )
Before me, a Notary Public in and for said County and State,
personally appeared the within named Robert Grant who
acknowledged the esecution of the foregoing warranty Deed to be
his voluntary act and deed.
SUBSCRIBED and sworn to before me, a'Notary Public in and
for said county and state this �L day of «�-� , 1993.�s;.:"
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�T n "9�L^ �>� �.
Will' R. Wallace III +' a-'n?� .. •�
Printed Name of Nota Publi °"'" "�`� ^
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Residence of Notary: Gibson - "`" �- ,:�;�p•. '
CountY � _�t,�!°�:.=�
My Commission Expires: 13 I�ril. 199.6
This instrument prepared by william R. Wallace III,
Attorney at Law.
Mail Tax Duplicate to:
Robert Grant
318 N. Jackson Street
Oakland City, IN 47660
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