HomeMy WebLinkAboutDeath Certificate - Robb, Roy_2/8/2002,: GIBSON ��UNTY DEPARTMEN�F HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibson County Department of Health,
ROY LEON ROBB
Died on 03/09/2001 at 12:10 AM
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 63 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Cardiac Arrest,.Minutes. Acute Myocardial Infarction.
Ischemic Heart Disease, years. Diabetes, Stroke,
Seizure disorder, Vascular Insufficiency
Signed by: Rameshbhai P. Patel, MD
105 N. Lnd Ave.
Princeton IN 47670
Place of burial Columbia White Church Cemetery
or removal:
Date of burial:
Funeral home:
S E A L
Princeton IN 47670
03/11/2001
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by � G �`����
Gi son County Health Commissioner
Recorded locally in Book No. 14
Princeton Indiana 03/13/O1
Ad ress Date
Page No. 5 Filed: 03/13/2001
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� � SFCOND UENHOIDER RElEASE OF,FIRST LIEN:
° SECOND IIEN N.4ME ' - . , . . . . . ' '
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RELEASE OF SECOND LIEN: ODOA�iER RE4DING
The second lien shown on Ihls ceni!im:e of iitle hos - ' �
been mtisfied, and �n r�lease is avthorized on BMV mrords
ihis day of � � ,
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❑ENHIXOER.. . ._. ... . . . . " ' __ '
By ' � ' . ' . , ' . <
� DO FURTHER CERTIFY Tiwt I hove vsed reosonoble diligmce in ascenaining whether or nol ihe fach stoted in wid oppliEoiion for a
certificoie of title are tme, and ihoi I om sotisfied ihoi the opplimm is the lowfvl owner of soid vehkle, or is otherwfse entiiled b have
same regivered in his nome. .
WHER'FORE, I do MmSy certl(y �hot ihe obove �mmed applicam Fqi been dvly regittered in ihe office of the Bureav of Mo:dr ,^
Vehides as ihe low(ul owner of the above deuribed vehide, or is oiherv.ise eniided io hova the some registered in his rwme, ond ihat it
appeors oppn Ihe oH�ciol remrds that o1 ihe daie of the issoonce of this certi(ico;e said vehide was wbject Io the liens w encvmbranms, if
�^Y, o� sm:ed obove.
� 4`t,rp '. AS WITNE$$, MY MAND AND iHE $EHLS pF iHE STAiE • � - '
. ��c`� �.4 OF INDIANA, qND THE BURE4V OF MOT02 VEHIClES - �
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� � ;i � AT INDIANAPOLIS iH15 DATE . . � ,
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