Death Certificate - Robinson, Jessie_9/13/1989RECORD OF DEATH �
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GIBSON COUNTI' DEPARTMENT OF HEALTH
PRI\CETO�. I�DIA\A
THIS IS TO CERTIFY, that our records show JESSIE ROBINSON died
,ianuary 30. 1976 at 12:15 Gibson General Hospital Princeton, In.
month da}• year hour o( death street, honpital, rvral
Age at Death 90 gyx Male Color �ite ntarital Status Never Married
years write x�hether mamed or single
Primary cause of death given was Arteriosclerotic
Signedby R.G. Geick, M.L.
physicien or coroner
Place of burial or remo��al Walnut Hill
name of cemeterc
tension cardio vascular disease ( 20
Ft. Branch, In.
eddre�s
Ft. Branch, In.
address
DateofburiaL February 1, 1976 Stodghill Funeral Home Ft. Branch, In.
Funerel Direc[or address
SEAL
Recorded locally in book No. 9 Page No.? 1
Signed �i�l��n'7���h'�
Gibson ounn� Health Com sioner
Oakland City, In.
address
February 3, 1976
30, 1989
date