Loading...
Death Certificate - Cooper, Edwin Mack_1/9/1978. , , l., ,: r:;x.., •,; '� „ � ;;. . '. , . :.�; - � - ' RECORD OP DF.ATH � GIBSON COUNTY D�PARTMGNT OF HEALTH .. .' � PR[NCETON, INllIANA , , � , EDWIN MACK COOPER' TIIIS IS TO C�RTIFY, that our records show _ dicd Au�• 12, 19� 8:30PM Gib. Gen. Hosp. Pr_inceton, Ind. ,� month day year hour of denth etreet, hospitnl, rural � • Age at Dcatl� 7� Sex Male Color White Niarital Status_^ � Married years '� �� �� . write whetlier married or singlc Prima�y cause of deatl� �i�,en was Acute myocardial infarction . •. Signed bY-- Pl.ice of bui•ial ph�siciun or coruner inceton Date of burial 8 1�/63 Colvin & Son PrinCAton, 'Ind. ' , � I�uneral Director nddre'ss�%��. ' (/(/ V �� °�/ �i. C/' J l: l�iGl /J � %' � . /,� � . i�� ' �� SEAL Signed ' �/ ' , ' , Cibson County Heulth Comm�ssioncr � ' . Oakland City, Ind. 1/9/78 � ' ncldress � � dute Itecorded locally in boolc No. H-5� Page No. 3� Filed: 8�12�63 i' . I. . f' � . . .T^�;'.'.. ."1'�.��.-� . . . . �' . ' . 1� , ' . . . . {.: ' .• 4 . � . . • • � f . '�/ � . .. • . ' . � I' 'N� � . � . . . . . . � •�,�TJ� i � � ' � ' . IG', � t , 5 .. . �.J;. . . . . � .... , _.. �� a. F t..A� 4 t .n-("' .l.v. • � ' . ' � � / ' � . .r � . i . . '[.. .t � �. : . ' i:� . � � �