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Death Certificate - Robinson, Richard Maxwell_3/22/1974
RECORD OF DE aTH � G1BS0\T COU\TTY DEPARTIIENT OF HEALTH _ . . . . � PRIVCETON, INDIA?QA . . THIS IS TO CERTIFY, that our i•ecords sho�v HICHAfiD N,AXWELL ROBINSON died Jan. 12, 197� at 10:3rjAM Gib. Gen..Hosn. Princeton i`d. montfi' ' da}� �'year hour of death . street, hospital, rural � Age at Death K1 Sex Tnai e Color �dhite � illarital Status Ma r1 ed - - - � years � . - � � � . - . - � . write whether married or single i.. . . .. . . . .. Primary cause of death gicen was � Carcinoma of lnna mith � �+ �i mafasta�is Signed by ' �1111i �m R ta<�=s � nr,� Frinceton rnd � � - " ' ' pfiysician or coroner _. " �- . � . "�address`— �: `�" � - ' " Place of burial or removal Cnlnmbt�. �}���.6� Prinoeton Tnd � � � � � � �name�of cemetery� � � � � 'address � �� . Date of burial 1/14/�4 Kendall FunPral H�mP p�.� � t � - � � � Flmeral Director � address - T . , � - � . . . . . . J�4�.(%�`I' I{.��iW„"".,_ `'R�✓ . � ,.. ' SEAL : Signed ' � � � � .,. - . �� � � � � Gibson County Health �Commis=ioner � � ` _ - . - Princeton, Ind. 2/5/74 r � � .'� - , address ' � date ` •�. Recorded locally�in book A'o. � page No. 9.4_Filed: 1��7�