Death Certificate - Robb, Theodore_4/16/1975RECORD OF DE:1TH ! �
GIF,SON COUNTY DEPARTIIENT OF HPALTH
PRI\CETOV, I\*DI�1VA
THIS IS TO CERTIFY, that our records slio«• TFFCDOAE ROB3
Dec. 6, 1�3 at 5s'�OPT� Gib. Ger:. Hosp. Prirceton Ind
month day yeaz hour of death. street, hospital, rur.�l
�ge at Death_ E9 Sex ��le Coloi• :�`hlte ��Iarital Status NarTied
years a•rite whether married or single
Frimai•y cause of death given was VP»trirnlar ftfirij�l�r,�p�
Si�ned b}- sTUCe Brink. D.C. PrinnPtnn, TnA
phcsician ar coroner ' addrev .
Place of bw�al or remo��al '�it . G'11Y� ri�.p7 -, r_
T���� �rnt�-.
mm�e ot cemetery � addres
Date of bu�•ial— 12 Ql2? KPnclu� i Fu�Ai r;D� p��Eeton, �r��
Funeral Director address
SEAL
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� � �l i / i/ J1?�r
Signed iJ`.�"`, �'ic�' - a ��
Gibson Countc Health Commis�ioner
Prir,ceton, Znd. 4/1F/�5
address y�te
Recorded locall}� in book tio. � Pane \�0.�8___Filed:—_i2/�,_1���