Death Certificate - Coomer, William E_12/29/2003� �
GIBSON COUNTY DEPARTMENT OF HEALTH
800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
THZS IS TO CSRTIFY
that according to the records of the Gibson County Department of Health,
WZLLIAM S. COOMSR
Died on 09/02/2002 at 3:OSAM
Residence
717 S. Hart St. .
Princeton IN
Age at death . 55 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Squamous Cell Carcinoma Rt Lung, 4 to 6 weeks.
COPD-Smoker.
Manaer of death: Natural
Sigaed by:
Place of burial
or removal:
William R. Wells, hID
510 N.Main St.
Princeton ZN 47670
Owensville Cemetery
Owensville IN 47665
Date of burial: 09/OS/2002
Funeral home: Colvin Funeral Home, Inc.
S E A L
425 x. Main St.
Princeton IN 47670
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DEC 2 g 2003
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Signed by ��,�� � �Q_T�7"�i
Gibson'County Heal h o i���
Princeton, Indiana 12/29/03
Address Date
Recorded locally in Book No. 14 Page No. 46 Filed: 09/06/2002
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