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Death Certificate - Roberts, George L_10/20/1993
,� .� � � �� .. �� i'r; � c� �v c, c� L; :v • l �- L; �. �J Ea �z �.� rT �: �v -�_� c_> .t= x r_: �, L. �1� �—;: ' t:UU 5. Prince St. • F^in��e�on. Indiaiia 4767U ' ' 8i2-38�-3831 � - 1�r.CURD OF DF.ATH: 1'HiS IS TO CERTIFY l-hat according to tre records oY the Gibson County Department oY Heaith, ; Gr,�}tc;Y. Lc)UZS i2�13�12TS i Dieu on US/0�/i99:� at i0:�0 P.`i. Fores� lle? Convaiescenr Cenrer i020 Vine Street Princ�tun i\ 4�6�0 A�e ar or_atn . 8� Years Sex: `i M�ritai Stat�s: `!arrieu Color: Ghiie Cause of deacn: Carcinoma oi Riotit Lwie i � � �.11L:A � . :OCT 2 0 1993 � L�r�na� ,�} /{ s , AUDITOR� ° Signed by: V. Paui Baimi���, ;I.D. � 40i \. Richlanci Creek Dri�'e � P:incecan i\ 4i670 i Piace of burial ?taumee fem�ter}� or removal: R3 �� 1 O�vens�ail't� i\ 4706� Date or burial: Ois/i;8/i9'a3 � i�meral nume: Fioloers �imrra? Hume or Gibson Cuw�t,,�, lr.c. � a.u. :u�: �id ' (JM'2IISl'11I., 1.F G�OD:J J �: 1 i, � I Si•?ner? i�_ --�Q��T'�-`�iML�°"' �%r% ----- Giusoti t.uunt}• Eeaitl i:o;nmiss�oiier k�'cnr�+.e:i lu�:a; l�' .,. �;uu6 ?:u. !'_ _Uai:laud Ci�i:�, iitcii�n..t UN/10(93 � - --- ---,1�i�iress - -- = Uate oa;;,= Vo. i0 C-ited: US/i0j:v9�' 0