Death Certificate - Cotterill, Bert Lincoln_3/9/1987RECOHD OF DEATH �
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GIBSON COUNTY DEPARTil9EN'[' OF HEALTH
�ai�cr:•ro�. ��oi�, �
THIS IS TO CERTIFI', that our records show BERT LINCOLi�T COTTERILL died
Auqust 10, 1985at 5:41 A.M. Good Samaritan Nur��g Home �asicLCif�,�n.
month dny yeur hour of denth • street, hospitnl, rural
AgeatDeath 76 Sex �lale Color��hite �.laritalStatus r�arried
years x-ri[e whether married or single
Primary cause of death given was
Hepatic Failure (days), Carcinomatosis(mos.)
Primary Carcinoma of Colon (2-yrs.), Chronic Coronary Artery Disease.
Signedby G. G. Gray, D.O. Oakland City, In.
physician or coroner address
Placeofburialorremoeal• Forsythe Oakland City, In.
name o( cemeten� address
Dateofburia� �ugust 12, 1985 Corn Piortuary, Inc. Oakland City, In.
Funeral Director address
SEAL
Recorded locallp in book No. 1� Page No. 151
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Signed 5'd'.f��.�i�.yln, �� "=���e�°!'�
Gi6son Countv Ileulth (b �issioncr
Oakland City, In. January 26, 1987
address d :t^
August 14, 1985
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