Death Certificate - McIntire, Robert_3/1/2002• GIBSO�OUNTY DEPARTME�T OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
!�-THIS ZS TO CERTIFY
� that accordiag to the records of the Gibson County Department of Health,
ROBERT D. MCINTIRE
Died on OS/03/2001 at 1:55 AM
' Gibson General Hospital
. . 1608 Shezman Drive
Princeton IN 47670
Age at death . 63 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Acute Pulmonary Fsinbolism, Hyper Coagulabcity.
Metastatic Cancer-Primary Unknown.
Recurrent Embolism.
Signed by: Arun C. Kumar, MD
105 N. 2nd Ave.
Princeton IN 47670
Place of burial Walnut Hill Cemetery
or removal:
Date of burial
Funeral home:
S E A L
Ft. Branch IN 47648
O5/06/2001
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by �G��i`'-"-"/�" ""
Gi son County Healt�issioner
Princeton, Indiana OS/OS/O1
Address Date
Recorded locally in Book No. 14 Page No. 10 Filed: OS/08/2001