Death Certificate - Coleman, Walter Owen_1/8/1988RECORD OF DEATH �
�
GIBSON COliNT1' DEPAR'Ii�4ENT OF HEALTH
PRI\CETOV. INDIA\A
'I'HIS IS TO CERTIFY, that our records show SdALTER Ot•7EN COLEMAPi
6-22-86 a� 11:16 AM Wirth Osteopathic Hosoital, Oakland City,IN
mon[h dey yeer hour of death street. hospital, rurel
Age atDeath 56 Sexmale Color `^'hite �•iarical Status married
years arite whether martied or single
Primary cause of deach given was Acute Respiratory Arrest, Severe ASHD & Angina
Signedby Terrv Gehlhausen D.O.
physician or coroner
Oakland Citv, IN
address
Place of burial or removal Martin Pike Co. , Littles, IrI
name of ceme[en� eddress
Dateofburial6-25-86 Corn Mortuarv Oakland City, IN
Funeral Director address
SEAL
Signe
!Ii/ ���'/ G'. °�6 e ir/.�i
��
Cibson Counn� Heelth Commissioner
Oakland Citv, IN 12-17-87
address date
RewrdedlocallyinbookNo. 11 PageNo. 15 Filed:6-25-86