Death Certificate - Rogers, Gilbert H_2/27/2004GIB� COUNTY DEPARTMENT � HEALTH
800 S. Prince St.
Princeton, Indiana 47670
�812-385-3831
RECORD OF DEATH
THIS IS TO CERTIFY
that according to the records of the Gibsoa Couaty Departmeat of aealth,
GILBERT HASTEL ROGERS
Died on 04/09/1992 at 6:25 A.M.
Good Samaritan Nursing Home
210 Gibson
Oakland City IN 47660
Age at death . 88 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Acute Pulmonary Edema,2 days. CVA, l years.
Arteriosclerotic Vascular Disease, over 20 years.
- Pneumoconiosis.
Signed by: Howard Ropp, DO
128 S. Main Street
Oakland City IN 47660
Place of burial Blackfoot Cemetery
or removal:
Spurgeon IN
Date of burial: 04/11/1992
Fuaeral home:
S E A L
Corn Mortuary, Inc.
323 N. MdiR BOx 278
Oakland City IN 47660
Signed by � G��i`" -' �' '�
Gibson County Health Commissioner
Princeton, Indiana 02/25/04
AddrE55 DdL2
Recorded locally in Book No. 12 Page No. 36 Filed: 04/13/1992