Death Certificate - White, Robert_1/14/1999GIBSON CC��NTY DEPARTMENT �F HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THIS IS TO CERTZFY
that according to the records of the Gibson County Department of Health,
ROBERT S. WHITE
Died on OS/23/1997 at 9:40pm
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 76 Years Sex: M
Marital Status: Married Color: White
Cause of death: Cardio Respiratory Arrest, Cerebral Anoxia,
Aspiration Pneumonia, COPD, CHF
Signed by:
/
Place of burial
or removal:
Bruce C. Brink, Jr., D.O.
410 N.Main
Princeton IN 47670
Oak Hill Cemetery
Patoka ZN 47666
Date of burial: OS/28/1997
Funeral home:
6��i �R
Colvin Funeral Home, Inc.
425 N. Main St.
Princeton IN 47670
Signed by AI�/ �Zj��yp�.%i�!
Gibson County Healt Commissioner
Oakland City, Indiana 12/14/98
Address Date
Recorded locally in Book No. 13 Page No. 40 Filed: OS/30/1997