Death Certificate - Couts, Harold J_5/10/1994� �
G S B S O N C O U N T Y D E P A R T M E N T O F H E A L T H
800 S. Prince St.
Princeton, Indiana 467670
812-385-3831
R E C O R D O F D E A T H
THIS IS TO CIIYfIFY
that according to the records of the Gibson County Department of�Health,
HAROLD J. COUTS
Died on 12/22/1989 at 6:OOpm
Gibson General Aospital
1808 Sherman Drive
Princeton IN 47670
Age at death: 74 Sex: M Color: Wl�ite t7arital Status: Married
Cause of death: Cardiac Dysrhythmia (3 days), Pneumonia-right lung,
Metastatic Carcinoma of right lung (2 wks.),Superior Vena Cava Syndrome
(1 wk.), Chronic obstructive airway disease (10 yrs.) Carcinoma of Urinary
Bladder. Coal worker Pneumoconiosis.
Signed by: Krishna Murthy,MD
105 v.2nd
Princeton I� 47670
Place of burial Walnut Hill Cemetery
or removal:
Petershurg IV
Date of burial: 12/26/1989
F�neral home:
S E A L
,.
Colvin Funeral Home, Inc.
425 ti. Main St.
:' Princeton Zv 47670
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I��Y 1 G 1994
� DITOR��
Signed by � :�����'°"' ��'�
Gibson County Healt �Commissioner
Oakland Citv, Indiana O1/03/90
Address Date
Recorded locally in Book No. 11 Page No. 105 Filed: 12/28/1989