Death Certificate - Hornback, Robert Lee_11/6/2002I�,
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. THIS ZS TO CERTIFY '
that according to the records of the Gibson County Department of Health,
ROBERT LEE HORNBACK
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Died on O5/04/2000 at 2:38AM
- Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 79 Years Sex: M
" Marital Status: Married Color: White
Cause of death:
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Signed by:
GIBS� COUNTY DEPARTML�VT OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
Cardiac Arrest, Minutes.
Atherosclerotic Heart Disease, Years
Diabetes, Stroke, Parkinson�s,
Hypertension.
Rameshbhai P. Patel, MD
105 N. 2nd Ave.
Princeton IN 47670
Place of burial Highland Lawn Cemetery
or removal:
Date of burial
Funeral home:
' S E A L
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";''�:j Recorded locally in Book No. 13
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Mt. Carmel IL
OS/06/2000
Holders Funeral Home of
Gibson County, Znc.
P.O. Box 518
Owensville IN 47665
Signed by � �� m��- -" ��
Gibson County Health Commissioner
Princeton, Indiana OS/12/00
Address Date
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Page No. 117 Filed: OS/12/2000
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GIBSON COUi i Y AUDITOR
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