Death Certificate - Cooper, Floyd M_8/8/1983RECORD OF DEATH
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GIBSON COUN'I'Y DEPr1RT➢1EIQT OF HEALTH
PRINCETOA`, Ih'DIAN9
TffiS IS TO CERTIF'Y, that our records
FLOYD M. COOPER
1/14/80 at 2:15AM Gib. Gen. Hosp. Princeton, Ind.
month day year hour of death street, hospital, rural
Age at Death $ 3 Sex M• Color l^'h ' Marital
years
Primary cause of death given was Carcinoma left luna
Signed by
Place of burial or
Date of burial_
SEAL
Bruce C. Brink, DO
phvsician or coroner
noval Graceland
name of cemeterv
1/18/80 Colvin
Ftineral Director
Married
ccrite whether married oz single
Princeton, Ind.
address
Albion, Ill.
address
Princeton, Ind.
address
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Gibson County Health Commissioner
Oakland City, Ind. �/22/83
address date
Recorded locall�� in book No. 10 Page No. 2 Filed : 1/ 17 / 8 0