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Death Certificate - Cooper, Joe_12/29/1997 (2)� � , .. ; "- ._ , ,. G I SS U7V C OUNTY D E P ARTME NT ;�OF .HE ALTH 800 S. Prince St.�' � 'r � ' _ .; .• Princeton, Indiana 47670 ' _�1 312-385-3831 b ((,,;.,0(aos : RECORD OF DEATF3 � Q�o,1 �� THIS IS 7'0 CERTIFY .: that according to the records of the 6ibson County Department of Health, JOE COOPER Died on OS/28/1992 at 3:37 PM Wirth Osteopahtic Hospital Hi Way 64 West Oakland City IN 47660 Aqe at death . 60 Years Sex: M Marital Status: Married Color: White Cause of death: Acute CVA, Hemoptysis-Massive Possibly 6astric or Pancreatitis CA Signed by: Terry Gehlhausen, DO Hwy 64 West Oakland City IN 47660 Place of burial Montgomery Cemetery ; or removal: Oakland City IN 47660 Date of burial: OS/31/1992 Funeral home: Corn Mortuary, Inc. ' 323 N. Main Box 278 Oakland City IN 47660 S i gned bY -- °'� "r/ '�'�1 C/'• ���,�-- — Gibson County Health Commissioner 5 E A L �Oak.land Cit�l_Indiana _____06/15/92 Address Date Recorded locally in Book No. 12 Page No. 39 filed: 06/Oa/1992