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Death Certificate - Robb, Charles_3/12/1997� ..�.�.�.�.�,�, � -:; ;�.rri_;i�:r,:"'! '�:•'::i ;suRCH coui T � � �,-•��,�.:i-:=:t.'_ !'-:::i-:::,..__ .. 1 • ( . I ,��,,, .,.VANDERBURGH`COUNTY�;:-:;�-„��:,G-�irPRii::ii � � ,__: _:'i:,-,-::,--,�;�: � J i' -0IED M .� INDIA �A ON �� F �' i� YEAA 1 :' r , � ,1991 i � . �� . i � i i � � �' � � � F �{ i 7f. 1 � t .. � �� . � . �.1 i' I -� - i1 �� :, . �� .� S'SIMEOFDEATH. ��1Q �2� _PM. � MARI7ACSTATUS ' �rcied' �t �� SEX :Hale' � �AGE 7z �'S. RACE Hhite_ ._I�_ !i ' � � i i . . . � 1 � i -!i i -' . .. '� ' i ' i� � �:....��.. . �. . !: i .' ' ' . - � _ �� ' DATE OF BIRTH . . _ '. . i l � �� 1. ` . I� - 3e 11 . �. . .. . . . . � , i -� . �-��. ��PLACE'OF DEATH �, , �DE:�CONESS''�HOSPITAL� �." ..: , � �.. •;.. i . '� . � ... � .. . }. - -� . . - � ..- � � - i � ;-" - . � a � t � .. � i . i i � . � . .. � i � =. PfiIMARY�CAUSEOF�DEATH�GIVENWAS � HeaIC Disease .POSSIBLE':1CtiTE�.?fY0C,1RDIr1L:�. '��.i ' ' , � ; ' ': =';-':i: .INFARCTIOV,"'H]P.ERTENTIOV AND CARDIAC.�;;•,::;- -•i-_� _. .. .-�°-ii-. � �- -.:. �--� - - -- - . ARRE .. , . .. .., : - ,- ;: � • . : ST � , : - � � - - - i!• - - - - ' ' ,�-' - _,. . . ...-'� -... . .. _:. . , , ,. „ • .. ,-._ . _ . .: , , . .. : :; . .. �.-.� �,-.��-PHYSICIANORCARONER.-��MOHZI:SHETH, M.D.� - '.t °I^i°1 t"AUTOPSY='.:40�F'��'I—=i: , _ . . ; . : . . '" _' _ " ' " _ " _ . .� �� _. ._ r" ':�'.:'�:ct'i' " t: _ _ . : .. . ,. . . . . . -; � .. ':' .i . . . . ' ..: . ... , . . . .. , . . .. . . . .... , _. � . ... ...... .. . . . � ., . , , . . . .. ... . ....... ..�.... ,.........,. . _ . .... . .. . . . . . . - �. �� . ' - � � PIACE OF. BURIAL OR REMOVAL ��., SHILOH ��CEiiETERT HAZLETON �-IV �-.� '�. ; ... MANNER � :',yatural Disease . - � '_ FUNERALHOME_': COLVIN 4�ZS,N� MAZV�PRIVGETON� �I?! 4%G%O ,- . DATEOFBURIALi ,�_�O4�YO�199]. � • L . . � • .. . . � . •. ' .. � - � . - . . .. . _ +_ . i . _ . . . _ .. . , . . - ' - � • CER7IFICATE NUMBEP - - OOOOO�Z9 �� • `• � 04'/26/91 �..� � " �.'' � � OR VOLUME AND PACaE . . � �' ` � . DATE ISSUED � I �_�.. , � i.: ' r. " ' : • ,. . �' ..,. ." .' ' � � : .�. . � � ' � . . . . .' . . , . . ' i " ., � .i'-, .� ' � � .. � �::� ' � .:.� . . _ ��...' �" ..� �.�.� :. . . . - � " � - � 7 VALID UNLESS SIGNED 8 SEALED-:��;,��;..'-' . .. '.' . . .� " ..:' ._ . .. , �'°,'{ . , . . . . . .. _.jN i . . _ . � ... . . , . , . . _ . . _ . _ . : � �/� . . _ .. . . . . . . .. � .J �yG�iMA��Z'�.�/'"�"-V'�(�� ..'I��-�: , , ��M:� . (/ ' " .' "' -' :. . - - . - - - ' - . . . — . . - . _ VANDER RGH WUNTV HEALTH OFFlGER . , ' ' , . . - . .. " _ � . .- . '. . . . " � . . - . . . . , . ,- r t . 11 �I