Death Certificate - Phillips, Rollin M_5/9/2001GIBSON �UNTY DEPARTMEN�F HEALTH
800 5. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
ROLLIN M. PHILLIPS
Died on 06/13/1999 at 7:45AM
Residence
304 E. Vine St. P.O. Box 327
Patoka IN
Age at death . 60 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Acute Myocardial Infarction
Coronary Artery Disease
Generalized Atherosclerosis
Signed by: Paul V. Banning, M.D.
Welborn Clinic
Princeton IN 47670
Place of burial S.W. Ind. Regional Crematory
or removal:
Dale IN
Date of burial:
Funeral home:
5 E A L
06/15/1999
Wade Funeral Home, Inc.
119 S. Vine Street
Haubstadt ZN 47639
Signed by �G���'•v`�'�'�
Gibson County Health mmissioner
Oakland Citv, Indiana 06/18/99
Address Date
Recorded locally in Book No. 13 Page No. 96 Filed: 06/18/1999