Death Certificate - Loveless, Roberet M_1/17/2007'�16-OObs�-4o
202101
D A V I E S S C O U N T Y H E A L T H D E P A R T M E N T
303 E. Hefron Street
washington, Indiana 47501
(812) 254-8666
R fi C O R D O F D E A T H
THIS IS TO CERTZFY
that according to the records of the Daviess County Health Department,
ROBERT M. LOVELESS
Died on 02/06/1997 at 2:15 p.m. Age at Death: 61 Years
Washington Nursing Center
603 E. National Hwy.
Washington IN 47501
Sex: M Color: White Marital Status: Married
Cauae of death: atherosclerosis.
Insulin dependant diabetes mellitus.
Signed by: Merlin K. Coulter, M.D. �����
1400 Grand Avenue �J
washington �N 4�50� JAN 1 7 2007
Place of burial
or removal: Montgomery Cemetery
Oakland City IN 47660
Date of burial: 02/10/1997
Funeral home:
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Corn-Colvin Funeral Home
323 N. Main Steet
Oakland City IN 47660
Signed by
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GIBSON,COUN�� i70r�
Wl' �°
County, lnaiana
Washington, Indiana O1/17/07
Address Date
Recorded locally in Book No. CH-24 Page No. 186
Record 43 on 02/18/1997
VOID IF ALTERED OR ERASED - NOT VALID UNLESS�CERTIFIEO'BY HEALTH DEPARTMENT
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