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Death Certificate - Higginson, Nina_12/29/1978. _ �� � . �, ; ' ^ / � � ::; - � . ��.- �ti\.: . u�� . �.. : �, , < _. _....___.__ .t,: _..a_.__......_. - -. —Q_ � ;��; �s �, � `Y r � ----- — -- .. --- -- -- ---- . � , -- - - - ---- — --- --- ----- ---- - �;. RECORD OF DE �TH i � GIBSON COTJI\T7`Y-DEP.9R7T,1ENT OF-HE�LTIi - PRINCETON,INDIANA , THIS IS TO CERTIFY, that our records show NINA HIGGINSON died j July 30,1963 at 8:35Pn7 Gibson General Hospital,Princeton,Ind. ;_ month day yeaz hour of death sheet, hospital, rvrel � � Age at Death 63 ?emale white mariied ; Sex Color Tiarital Statu� S�rs � write whether married or single� � Primary cause of death given was Rheumatic valvular heart disease i Signed byR.G. Geick D4.D. • Ft. Branch , Ind. ; physician or coroner � address � Place of burial or removat Antioch Cemetary Keensburg, Ill. � � � name of cemetery � � addrnss . Date of burialAug. 2,1963 Holder's Funeral Home Owensville,Ind. F�neral Director addzess +% //JJ/j i � � � / \ (�///� � ; • / � / 1���/ q �L�nC � �y�!',i i� � �',�/ i r�v �� � SE�L Signed � � ' Gibeon County Health Commissioner _. � � OAKLAND CITY. IND. 12-14-77 � ' , , aaare55 • . 1 , j . . daCe Reeorded ]ocally in book I�To. 5� Page No. 3� Filed: �-31-77 Page No. � FORM 25 Prepared by BENTON TITLE ' �«.. � � ` n-.cq.�.-cc-_ _ _ � � . "�. _ _ _' '_ __ ,�. . .. � . . . -..� ... .. ..... . i . . c Princeton, Indiana . ��__ . " ...........��.... �._�._____ .I