Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
Death Certificate - Robinson, Joseph Warren_3/12/1973. . . � 1 . � � - . , `��, / '- . : t . � . . . . .
��n :t',
. . . . /�°�r_ ' �� e .
Q� � '
RECORD OF'DE4TH ` _
�.
- GIBSOV COUNTY DEPi1RTJIENT OF'H�.�;LTH:' ' ° '� :
� -L . _�� . -�,;�.
r ' i �i•� ..f�..._ � '� �..t,+�. -';PRISCETO\ -I1DI-X\�.�1I �_ ' i - t .
��. _.�� � � � -r -t
. . 1�' . .� �i• r �,c . .� " _
�7..
�TIIIS IS TO.CERTIEY .tliat our i•ecords sho�� �'.L�SEP�WABAEN�iQBI1�1$ON �- .died
' � �. ^ , ':�: ' ° i - �: ,-- 1 f ;: _
+._ ' •` �;�:..� _ _ ��.' ` . _�:
--Dec. 8� 1Q72 �at � - Gitz.-Gen. Hosp. Piince�Qn,, Tnd. �_�-�
, month� ." �� - , da} � �j ` �ear �� �� y � hour of��death � ? ` ��� 'street� hosp�tal rural -� � : r
, / r���
�Age�at Death •7� ii`^SeK '-19&le `-: Coloi : ldhite � ,� MaTried
, . , yearsl . � � � � . � � s • � - �vrite� �ahether � married or single � ' � ' -
.Cr .�,. .i .', . r. i�
�_�
Pr�maiti cause-of death;g�ven wa� �-UFemia � �
- �.�, '• ,. � .,- .i: �! � .,
: : .;, �� �; �- _ - . -
.. f ` � fi, �',_ .
S�gned by t .Rruce_Brink.�� Q. , Psittcet9n�ind _.;
-- �`� ' ph}s�cian'orcoioner-• .c� '°- -address'i� �- i �
_.. , . :' ,. . :,�• .� .. ' � � i;' . . » �,' :�i ' .t;'.
Place of bunal or �emoval "' Maumee Oivensville, Ind' -
- '� � ,t: name�of cemeter� � �� � - ; address�� � .
.. . � ; .. .: •��. , . . . �_:[' � . '_ .
,Date;of bu��a�] 2�11/?� Holde�_'Funeral Home -Owensville ��Ind
_ �- � �� , Funeral Director . ���i _°� addr �- � -
� -. , �. t > � • ' 1 - � • � 1 .' e . .. ,
`•SEAL j=� , S�gne� ��f
' � � , �, - �bso County � a th �Co m�ssioner � �
.� �- � ': � ! �: ,:�: �r. ..: _' ..,.r �. .. ,. .-
.� .. � �. �� `�.
� r � : �, Princeton„ 3rid_. �12/20%�2 - �
:,� .
. � ,. � "' ;: "'t � � � � .address °:' .�— � .Date._
�^_ , ._ �3; . '_ , ~ '' . ._ � - �. . °.� . .' '
� t
Recorded loca115• m boo6; ATo 8�• - page I�o " S�FSIed: 12�2_4/7�
�i. .��. 1 'Y� � �� ��• � ' '('• .�. .!� -i� �• .l� .��.
� ' ,t` v .�' _ 'e
� , i � � i �. ' . . 1:�
. � . � . % • � •��: il _ . l:
�Y `� � � -;T . i :i � _ '{t.' �. .i.
� t� ' � � � t i . .� .4•
' .i.� ��. ' .�i� '`4 �. . :1' . .I' .. '
. ' . .. •� .r . •�t,` i . A' .Lt .. ,.. .. . ,i .t. 1�.. .•f 1��'.�t. �.�. . . :�` . �• ., .
