Death Certificate - Koberstein, Emery J_7/26/1988RECORD OF DEATH
GI�ON COli\TY DEP.4RTMENT OF HEALT�
PRI�CETON, I�DIAtiA
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THIS IS TO CERTIFY, that our records show EMERY J. KOBERSTEII� died
July 16, 1988 7:29 P.M. Gibson General Hospital Princeton, In.
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month dey year hour of death; street, hospital, nrzal �
Age et Deat}t 86 Sex Ma i P Color [dh i ta �larital Status Ma rr i ari
yeus ' write whether merried or single
Pr•:mary cause of dea[h given wa� a t o Tn G� na1 H mo haqe .
ASHD- Renal Failure.
Signedby Atun C. KumaL t•1.D. Princetnn Tn.
phy�icinn or coroner eddreu
Place of burial orremoval St - J�SP� h Princetnn, In ,
� nnme of ceme[ery eddresa
Dateoiburial July 19, 1988 Colvin Funeral Home, Inc. Princeton, In.
Funerel Director eddress
SEAL
Recorded locally in book No. 11 Pege
Signed r1/ ��1 G. ""'`%%'�'�
Gibson County Health Co asioner
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Oakland Ci
addreas
In. Julv 22. 1988
July 22, 1988
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