Death Certificate - Coomer, Mildred_5/11/1982,
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RECORD OF DEATH
GIBSON COUNTY DEPARTMI:NT OF HEALTH
PRINCETON,INDIANA
THI; IS TO CERTIFY, thati our recorda show MI].DRED COOMER ��
4/30/82 ot 7PM Gib. Gen. Hosp. Princeton, Ind. •
month day year hour of death , etreet, hoepital, rural
Age nt Death 7� SPx Fe • Color wh • M'arital Statua � M•
Y�TB �� wrlte w6ather married or aingle
Prim,uy cause of death given was Myocardial infa:rction
Signed by James F. Peck, M.D.
. � phyeician or coroner
Place of burial or remova� I• 0. 0. F.
• name of cemetery
Date of burial 5/3/$?. Colvin F. H.
Nlineral Director
Pr:inceton, Ind.
Princeton, Ind.
Princeton, Ind.
addreae
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. SEAL . Signed '
� � �t ' Gibeon County Health Commieeioner
' �! � Oakland City, Ind. 5/10/82
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Recor�led locally in book No. 10 page No. 66 Filed: 5�10/82
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