Death Certificate - Cox, Robert Embree_6/24/1971RECORD OF DEaTH � �
GIBSON COUNTY DEPARTI2ENT OF HEALTH
Pxt�cETOV, �xniax�
THIS IS TO CERTIFY, that our records shok- EOBE�' �13E$EE COX died
,Lu21e 1_� �71 at R�45p� nted Pnr� �. £rom Oakland -ity
month � da�� year .hour of deatht0 Glb. GenSire�p�ta1, rural
�1ge at Death 71 Sex �le Color Whlte r1aTTled
years �rrite whether married or single
Primary cause of death given �cas AcUte MyoCaPdl&1 Infarctio2] :
Signed b�- ����am . Dqe, NID Oakland City� Tnd.
phpsician or coroner - ��' address�� � -' �
Place of burial or removal MontAOmerY Oakland C1tYr Ind. "
name of cemetezy address
Date of burial 6/20/71 Lamb Funeral Home „ Oaklat,�d City, Ind.
Funerel Director , a ss
SEAL
i /
�
Gibson County Health Commissioner
Princeton, Znd.. 6/21/�1
� � address Date
Recorded locall�- in book No. x-51 Page No. 16 Ftiled: 6/21/71