Death Certificate - Cooper, Roy J_10/5/2007800 S. Prince St.
Princeton, Indiana 47670
812-385-3831
RECORD OF DEATH
MY�
THIS ZS TO CBRTIFY _
that according to the records of the Gibson County Departmeat of Health,
ROY J. COOPER
Died oa 07/03/1999 at 10:42AM
, Gibson General Hospital
1808 Sherman Drive
Princeton ZN 47670
Age at death . 73 Years Sex: M
Marital Status: Male Color: White
Cause of death: Fatal Venricular Arrhythmia,
� Severe Coronary Artery Narrowing,
Atherosclerotic CardiOVdSCllldr H2drt DiSedSE
Manner of death: Natural
Signed by: Robert Stodghill, Coroner
Ft. Branch IN 47648
Place of burial Decker Cemetery
or removal:
Patoka, IN 47666
Date of burial: 07/OB/1999
Funeral home: Colvin Funeral Home, Inc.
425 N. Main St.
PIiRCetOn IN 47670
Signed by
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Gibson County Health Commissioner
S E A L
Recorded locally in Book No. 13
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� �<' K. (5lQ3)
Princeton, Indiana OB/23/04
Address Date
017232
Page No. 98 Filed: 07/13/1999