Death Certificate - Riley, Densel Charles_1/14/2003GIB�N COUNTY DEPARTMENT� HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIPY
that according to the recorda of the Gibeon County Departmeat of Health,
DENSEL CHARLES "BIID" RILBY
Died oa 06/13/2002 at 6;16pm
wirth Regional Hospital
Hwy 64 WESt
Oakland City IN 47660
xge at death . 7a rears
Maiital Stdtus: Mdrried
Sex: M
Color: White
Cause of death: Acute Cardiac Arrest (minutes),
Type II DM, HPN, Elavated Lipids
Signed by: Terry Gehlhausen, DO
Hwy 64 WeSt
Oakland City ZN 47660
Place of burial Evansville Crematory
or removal:
Evansville IN
Date of burial: 06/17/2002
Funeral home: Corn-COlvin Fluieral Home, Inc.
S E A L
323 N. Main Street
Oakland City IN 47660
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Signed by �`>""_ G.��°_"'� �'�/
Gibson County Health commissioner
Princeton, Indiana 06/17/02
AddrE55 Ddte
Recorded locally in Book No. 14 Page No. 40 Filed: 06/17/2002