Death Certificate - Pipkin, Charles E_8/20/2010GIBSO.�OUNTY DEPARTMENT �:-iEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CSRTIFY
that according to the recorda of the Gibson County Department of Health,
�
CHARLBS S."BIICK" PIPRIN
Died on 04/27/2002 at 6:15am
Residence
122 E.MOrton
Oakand city IN 47660
Age at death . 76 Years
Mazital Status: Married
Sex: M
Color: white
Cause of death: Metastatic Prostate Cancer (2 years),
Type Z DM, History of Peptic Ulcer Disease
Manner of death: Natural
Signed by: Terry Gehlhausen, DO
Hwy 64 West
Oakland City IN 47660
Place of burial Williams Cemetery
or removal:
Oakland City ZN 47660
Date of burial: 04/28/2002
Funeral home: Lamb-Basham Memorial Chapel
;�.�'��,�. 226 E. Washington
������`��z.���0akland City IN 47660
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J'�,....., l,s, � Signed by ��-� � RQ
- .,-�;�. , v Gibson County Health Commissioner
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' :•S_E���I,� � . princeton, Indiana 08/19/10
� J • Address Date
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Recorded��ocally in Book No. 14
IVRA-20
(7I05)
533559
Page No. 37 Filed: OS/02/2002