Death Certificate - Smith, Robert E_3/11/1997GIBSON C�NTY DEPARTMENT � HEALTH
800 S. Prince St.
Princeton, Zndiana 47670
812-385-3831 �
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RECORD OF DEATH
THIS IS TO CLRTIFY
that according to the records of the Gibson County Department of Health,
ROBERT S. SMITH
Died on 12/20/1996 at 12:30AM
Residence
Princeton, IN 47670
Age at death . 56 Years Sex: M
Marital Status: Married Color: White
Cause of death: Leiomyosarcoma
Signed by: Anthony Stephens,NID
801 St. Mary's Dr.
Evansville IN 47714
Place of burial Columbia White Church Cemetery
or removal:
Princeton IN 47670
Date of burial: 12/24/1996
Funeral home:
S E A L
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by
Gt���/�mi���.ti,�
Gibson County Hea th Commissioner
Oakland City, Indiana O1/22/97
Address Date
Recorded locally in Book No. 13 Page No. 28 Filed: 12/26/1996