Death Certificate - Kolb, Robert P_8/24/2007VANDERBURGH COUNTY HEALTH DEPARTMENT � 003220 `
Room 127 Adminisfration Building - Civic Center Complex - One Northwest Martin Luther King Jr. Blvd.
Evansville, Indiana 47708-1828
CERTIFICATE OF DEATH
�I�i� �e�tifie�, THATACCORDWGTOTHERECORDSOFTHEHEALTHDEPARTMENT
NrwE ROBERT P. KOLB
DIEDINVANDERBURGH COUNTY INDIANAON DECEMBER 08
T11.1EOFDEATH OH:4S P•M. MARITALSTATUS M�RRIED SEX �I'E AGE ��
SOCIALSECURIN DATEOFBIRTH 03/12/1930
PLACEOFDEATH DEACONESS HOSPITAL
PRIh1ARY CAUSE OF DEATH GIVEN WAS T CELL LYMPHOMA
CELIAC SPRUE, UPPER GI BLEEDING
YEAR ZOOO
aacE WHITE
PHVSICIANORCARONER Ll'LE BEARD� M.D. AUTOPSY NO
PLACEOFBURIALORRENOVAI D^cCKER CEM., PATOKA� IN MANNER NATURAL DISEASE
FUNEFALHOME COLVIN FUt�ERAL HOME, PRINCETON, IN DATEOFBURIAL 12/12/2000
CEFTIfICATE NUMBER
ORVOLUAIEANDPAGE 00�024.3H DATEISSUED O�.�ZO�ZOOZ
NOT VALID UNLESS SIGNED & SEALED
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VANDER9URGH COUNN H OFFICER
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