Death Certificate - Jennings, Robert_7/11/2002� �
GIB�1 COUNTY DEPARTMEN� HEALTH ,
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
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RECORD OF DEATH
THIS IS TO CHRTIFY
that accordiag to the recorda of the Gibson County Department of Health,
ROBERT JENNINGS
Died on 06/OS/2002 at 1:OOam
xesidence
RR # 1, Hox 9-D
Patoka IN 47666
Age at death . 67 Years Sex: M
Marital Status: Married Color: White
Cause of death: Metastatic Non-Small Ce11 Lung Cancer (18 months)
Signed by: Thomas Waits, M.D.
3801 Bellemeade Ave. Suite 110
Evansville IN 47720
Place of burial St. Joseph Cemetery
or removal:
Princeton IN 47670
Date of burial: 06/08/2002
Funeral home: Colvin Ftuieral Home, Znc.
425 N. Main St.
Princeton IN 47670
S E A L
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Signed by
Gibson County Health Commissioner
Princeton, Indiana 06/17/02
Address Date
Recorded locally in Book No. 14 Page No. 41 Filed: 06/17/2002