Death Certificate - Key, Robert K_9/27/2004GIB� COUNTY DEPARTMENT� HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIPY
that according to the records of the Gibson County Department of Health,
ROBBRT R. REY
Died on 06/14/1993 at 6:45am
xesidence
RR # 3
Princeton IN 47670
Age at death . 75 Years
Marital Status: Married
Sex: M
Color: white
Cause of death: Cardio Respiratory Arrest (immediate),
Cerebral Anoxia (few hours),
Metastatic Carcinoma of Colon with Metastatis to
Liver (3 months) '
Signed by: Bruce C. Brink,Jr.,DO
410 N.Main '�� �i �� �: � ���
Princeton IN 47670 lj� ' :� {� �t� ��
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Place of burial I.O.O.F. Cemetery
or removal: 1015 N. Hart St.
Princeton IN 47670
Date of burial: 06/16/1993
Funeral h�ne:. Colvin Funeral Home, Znc.
S E A L
425 N. Main St.
Princeton IN 47670
SEP ? 7 2004
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Signed by �1.�,ct.G G. ��.�."^"'„/A /"W
Gibson County Health Co issioner
Recorded locally in Book No. 12
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Princeton, Indiana 09/17/04
Addl'25S DdtE
017371
Page No. 66 Filed: 06/18/1993