Death Certificate - Riley, Densel Charles_2/5/2004GIB�N COUNTY DEPARTMENT�F HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
TflIS I8 TO CSRTIPY
that according to the recorde of the Qibeon County Department of Health,
DBN313L CHARLES "BIID" RILBY
Died on 06/13/2002 at 6;16pm
Wirth Regional Hospital
Hwy 64 West
� Oakland City IN 47660
Age at death . 74 Years
[�iarital 9tatus: Married
Sex: M
Color: white
Cause of death: Acute Cardiac Arrest (minutes),
_ Type II DM, HPN, Blavdted Lipide
signed by: Terry Gehlhausen, DO
Hwy 64 West
Oakland City IN 47660
Place of burial Evansville Crematory
or removal:
Evansville ZN
Date of burial: 06/17/2002
Fuaeral home: Corn-COlvin Funeral Home, Inc.
S E A L
323 N. Main Street
Oakland City IN 47660
Signed by "`W"� �` .+���
Gibson County Health Commiesioner
Princeton, Indiana 06/17/02
Addresa Date
Recorded locally in Book No. 14 Page No. 40 Filed: 06/17/2002