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Death Certificate - Robb, J Ralph_2/9/2000�r1�5 � COUNTY DEPARTM��T OF HEALTH
800 S. Prince
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Depart�ent of
Health,
.. .i.,v., .. _ - -
Died on 07/31/1999 at g:45am V
Owensville Convalescent Center
H�+'y 165
Owensville IN 47665
Age at death . 78 years
Sex; jy
Marital Status: Married
Color: White
Cause of death: Aspirated Pneumonia,
S/P-C V A
Signed by;
Place of burial
or removal:
Date of burial:
Funeral home:
S E A L
Chester Burkett, M.D.
P•�• Box 550
Poseyville IN 47633
St. Francis Xavier Cemetery
Poseyville IN 47633
�8/03/1999
Holders Funeral Home of
Gibson County, Znc.
P•�• Box 518
�wensville IN 47665
Iy'; •2�;i _"J '�t'....' �
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j� L• ti 0'J � �
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� - �. J._��
iv. Y F.I.C•.._..
. GI�SON G'�•�.. �
Signed by „"__ `_ G'�i�"""�`��'�/
Gibson County Health Commissioner
Princeton, Indiana
Address �2��2�00
Date
Recorded locally in Book No. 13
Page No. 99 Filed: 08/p2/1999
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