Death Certificate - Roberts, Everett_6/3/2014 _L 3 Z U 3!
A ATTENTION ESTATE:The Social Security 4 is
roingr requested'=y this sidle agency in erder to
pursue � 'Cnercresponsibility.
(I be eo penalty i��'F s�i. INDIANA STATE DEPARTMENT OF HEALTH
_vca' No. II/ J. ? CERTIFICATE OF DEATH Sate Na
--.. 0000 TE RECORDSIU THIS SERIES ARE:OIIEIOENrIAL PEER E':SSi.,-:9
:DECEASED AY.IE Irrla LMaae.lax) IMF OF DEEA:G Y Ge:E OF CE_a:Y Watch a!, *1
I O we- Everett Bob Robertson !Male I'6: 10 AM Anti). 4, 200E
7 ;0-1
86 I March 02,1920 Princeton Indiana
j)_.O � : 10100 f a VLV I I 1.010.-c: K . „.,...,r_,,,„..,„,„.„
- m Z �9 US FORCES: ^J S%:A_ ❑ ;-„:e s I :DER❑IA aM Hen. ow.,
IEP CY()` z -
n. = Yes Unknow ❑ EFx::at,. L7 C;
E aes:m«
it; IS .n E fvM1I:Y rails /Once raY.fcrt pi,=:ro,t sodr, ', Is: cm'.1041:.OR LccA:IJI C.ells na =Ur:1Y OF CEAin
: