Death Certificate - Cooper, Roy J_8/6/1999GIBSON CO�'vTY DEPARTMENT OiHEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
• «
RECORD OE DEATH � - �
THIS IS`TO CERTIFY'
that according to the records of the Gibaon County Department of Health,
ROY J. COOPER
Died on_07/03/1999 at 10:42AM
� Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 73 Years
Marital Status: Male
Sex: M
Color: White
Cause of death: Fatal Venricular Arrhythmia,
Severe Coronary Artery Narrowing,
Atherosclerotic Cardiovascular Heart Disease
�
Signed by: Robert Stodghill, Coroner
Ft. Branch IN 47648
Place of burial Decker Cemetery
or removal:
Patoka, IN 47666
Date of burial: 07/OS/1999
Funeral home: Colvin Funeral Home, Inc.
S E A L
425 N. Main St.'
Princeton IN 47670
Signed by �G���' " ����
Gibson County He th Commissioner
Oakland City, Indiana 07/12/99
Address Date
Recorded locally in Book No. 13 Page No. 98 Filed: 07/13/1999