Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Death Certificate - Robb, Robert W_12/28/1992
� rrn !Nqnrt j � I I MISSOURI DEPARTMENT OF HEALTH .� VENYAMFNT� CERTIFICATE OF DEATH STATEFILENUMBER GISTRATION OISTPICT NO. �. ��� ' S�' .OECEDENiS W WE (fvµ AI.bC4, W '� DF oK 'ROBERT' W. ROBB C� VSd00 • Pe. U00 � ... iCr � . �:�;rf ::r'., :. LH• iF� :1]:16 �c + ' ::3„i 124 - z .,.,.' ��.... . �.a� �o...� :.u. uw. s.w�eore�ninlwmNwr.rurl �.OiniHAALE(LUrwSUM1wfw�O^��Yl YlY�m) � Ypf'�NO ❑Un4. HOSPR4L: ❑Inpatiml ❑ER/putpatient ODOA OTHEN: ❑N�rainyHOmo�ResiEeMO�Olher(speclty) . .. .f�G4TYtULEfU��M1wo+lplw�YMWnunbrl . . Vc.GTY.TONN.OHLOUTIONOfDEATH pp.�qJNTYOfDEAiN . . '24".St.` �Mar aret'�''" "'° """" ' � " " � - . O'Fallon � St. Charles Y/JIITLLST�TUS�YmiM.N�wr 11,SUNVMNGSPOOSESNIME Ea.0ECE0ENT5U5U�lOGCUP�TION(GirrYNJtl IIe.NWDOFBU5WE550PW0USTRY Y✓�MC.N'tlowE.qrwcMRerirl � (IInI�.Grv�IWm�Unnimrl � �abraNn4qmm�a�aluqtiN.00rolurmirM. ' - � . Married°� � ° Bettie-Davis• � - Maintenance Carburetor:Mfg, i.NE510ENCE+Si�TE'•.. 1b,CWNTY • .. . . . " 1]c.GTV.TOwN.OXIOCATION fMZIPCAOE ...PPn:.: :�NI :.-qa.. ... .. _:: � � :� . . . . . . Missburi "" " ' St.' Charles � , ' �O' Fal lon " 63366 i.$TPFETNIDNUYBFA tl1.IN5�OEGTYLIYlTS 1]p.YFA0.51TYFE5ENT�00NE55 � --... . , Z9�St.'Mdi4dlEt'•�'�'..� .•..• •• .. . � '.. flYes ❑NO ��UnderS ❑5-9 ❑10.19����20or�more'. W/SOECEOENTOFHISVM'ICOHIGIN` �' ' ' � ` ' '� ' �� � �S.NeLE��muk�nlrqiaq&ac1�NtJ1aNC ' 1l.pECEOEIlISEOUV�iION � ttq�eia.�:.&'::'f$pKlbNOaYU.III��pGNGIWM11H+ieNRwtlaHtr+M1HC1•. , • . (3M�+M.. .. . .. � - _ ' iri '... .i .. . . ., , . . (SOM�YOnH�WMZ10nMamOM�W1 •oo ' iC �10 ❑Yes ••• • �� �l).f�TNFA5IUYElFYµYbc ... :�: _�_,.:. -JOhn�Robb . ,w.w�onwxrs w�ue nrw � � '�{`Bettie Robb .. . r nM.BUNU.LG1E11UT10N. :� `OTMEA (Spvlyl I '1 1 ,� �Urlal� eym.nmYrs«manlo-i:l �o�P�as�) .. .,. . . �6NOTHER3IUYE(f/�I�I.W.b���l' . Ada •Garret . ... '. r4 .MnlYntinVVX[il(SUMUpMRnMpflllilflplHMVpLw.GfypTO�ry$y14ZmLRV) . . . � . , ?.4 St:'Margaret, 0'Fallon, Missouri 63366 tlb.OAiEOGDISFO$ITION RD[.R/�CEOFpI$POSITION(Nam.td[�nwl�ry,aFNlvy,n Tp,LOCA{ION.GryaTO.n,SUlt lVW+tWY.YwI oNnp�csl � . Decgnber 5, 1992 St.Charles Mc�norial�6ardens St. Charles, Missouri - 3).S�urvwIUNEOfFUNEMLSFAN(,'E CENSEEOP ZL.NAYEM'O�pME$SOiFhGLITY 311'� SY.L�t: _ nCTWGAt '•-- ��� Baue.EUneral Hane O'Fallon, Missouri `, .3d.PM( 4 En4r IM Oluun.lryuiMi, a iaa�pllc�liwe iNl uuW �M OpN. Do ml mW Ilr moE� q C)4p, urA u ur0uc a ��ap'v�:ry ure� Nec � ���r'...•• �.:�.•VYWYOnPUMMYCFWy. • .. e . . - see�� �� �:����eu,�.ec.use:.�► �_... � A e.0 r�- /%94o en�n�A-� X•uF�tnnrio.v �. INSTFULTIONS: L u•...�FbWCera�p � ; . . OHOTHEASIOE� � - " �" WETOI������ENGEOF�: .. . " . ' [atlitiavWl4nj': +_ . - . . . - .', Y10MNi ' ' . . . � .. . . , _ ' e. � C�oROe/R2� � A'2T�%Z-y TJcSt;"AiC � � � '�' ��� , WETO�ORASACONSEOUENCEOF�. � . cowua+. u m ' - . . _ ��� �t -+�-y�y^Ym�mraltl�.�.r _ •, .. .. � . ... . .... . . . tx�l' f1Yy. flyy ' ' t. • �, !�.: r�UNOEFLYWO DUSE :: � p�F TO 1� /3 � CONSEOUENCE OFI: ' . . N _, :.. ��....>.�w,._., �. _. ;-. ,�w..,..�. � • �F. ' ' s��ii�,a.m�us. a. � J x :, � { ' . ti y:i n :n� � s�t�la�nw.�.u.� �ucE;, GLlb ".� Appeaim�l� Wpv�l BeKwn : .� � OnMI �M CpN � 1%itri�uf+s I �. lyeavs (sr i i � I � 5� � i _' _- � m w�_ . . �' jj-. /� L� . .iEYGLEIDJ9.WA55HE PEHfOX4EDt 4VNU0LERlIOPTO .. !?'- yna�ISMSIGH A�obe#.s �{��1�/NS P1IEGNMfiINTNEIASt ' �\v•: Cp40.EfIONOFGU$EOF - �o.n,• . �j Pv DEATMI . ..r.,� � r� � OVes ❑NO �Unk. ❑Yes I.�Fo ❑Yes ��NO� � E.MMlNFAOFOEATH -' Z���OATEOFWUflV t)l.TIMEOi 3]0.WA$INJUPYILCOIIOI- i]O.INJUPYhTWORNi R�.DESCHIBEHOWWUHVOCCURflED_ ••1(`;� �'��. ..IVmIRWY.YwI ' INJUflY PEL�TEDiiwr�.rw�.� ..�.o...,b .. •. • • 3�wew"s'O� �.. '_".. ... . .._._. �_..,....'_ � .'... .- -.- . . � , ��Ne�m M ❑Yn �NO �Unk. ❑Yw �NO �Unt. �51iCN��'�•QCpMMl�-. 3i1.P4CEOFVi1WY.AIM�W.I�rR�VMIIU�M'.dlb.� . PY.�OC4TIONf51MINOM�mMnNUNRw1�NUmGa.GtY[vlOntSM1lif'-:•;�:.. �'�:F I . -OMrmMa� � �ncl+D�dbl ... � . _ . .. . . .,, . � 11ank1M '• ' • . • -• - . L, (SOK��y) .�i '',.1 36U.T0 YM OOfI OI mY \MV4Ep�. pyN ouvi�M �I IM tiny. Eal� aM �4[� �M Uu� W IM taufp{S) fY1M. 3EC.0�tE $IGNED . MO.TIME Of pEATM .. .e. . i n .. .� 'i I. r � . . � ' IMmfROaY.Yxi) . 3EEPTIFYINGPHTSICIANq�.:,,; (SipnelureandTifle)►.�[ ���/�� ' -.. �""" ]YEOIC�LEfANINEIi/CORONEN '- ' �'—�"" ����� � S��/ �a��"" �• ' 0 2 niCQM�c.vl �9Q W.NAMENIOMONESSOGCEHTIFlp1(RIYSICWl,NEOICALESAYYfFAOIiCOIiONERj(Trp p�.y� pp.40.UCFN5EIR�MBEH; Jp.WASCASERE�EAflEDTOMEWGEEWIWI .::.�i.;.S�::�.:.':....::,;_ . .. .c..°-$UlLE'lU ' . r.William`Sill" 6Jun e'!. P• �' 3279Z"' ' Oves Cfioo 7:30 A. 1'.1UYEOi.�TTElIW1GPXY51Cl/J11FOiMEHTHANGENi1FIFA' �t.NEG15TM{I'$$IGN�TUflE ' St.D�TENECEIVEOBTLOC�LqEG15TMH ;:rrrw>a.w_.':'SA�^t' " ► -.. . . ruo�mar....q o� / 9 ' '. ..._ . . . ''� -+.-THIS IS A CER7IFIED COPY OF AN ORIGINAL DOCUMENT. � . � .-. `�,;%a;+;4;:,(DOnofeccept!l.rephotogia0�ed.�orilualimpressioncennotbefelLJ . OCUMENT IS PROHIBITED BY LAW (sec. 183375 RSMO 1886) � - � � • � z � � � e�ry��sfi.�'�'� '�r�e�::.� t-.' �i:. _ .. ,. `' . ,.: �. . . „ -,�iJ�'r1,�/-� �� C.;•.:1 HEHEBY CEHTIFY that thb b an aaad reproductlon ol Iha earlllicale br Ihe Denon namad thewin u It now.aDPeen In Ihe t `.ol Vllel Recordt ol lhe Missoud°DepaAmen(of. Heallh. Witneu my hand aa County ReplsUar ol Vllal 5la0sllet�and�Ihe�Seal ol'_ � Nls Mts ol `> k � �� � �-. .: . 4 1942 ' > � . `-' Q.�c..u� � , �- St. Charles Cdun[y p IalrsrolVllalSlaliatlu <�' � NaeBy L. Duncan � . _ :.,, ...,_.....,.� r.,� . ,_,___ .._ - . _ _ _ : .. C(�QS -- OU�a.7(v:-Ov. ._ .. _".