Death Certificate - Hickrod, Jesse_12/7/1992r�
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G I BSON COUI�FTY DE P ARTi�fE 1+I`T OF I�E ALTH
600 S. Prince St.
Princeton, Indiana 47670
812-385-3831
R E C O R D O F D E A T H
THIS IS 7'0 CERTIFY
that according to the records of the 6ibson County Department of Health,
JESSE HICKROD
Died on O1/29/1973 at 1:30PM
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 30 Years Sex: M
tdarital Statas: Married Color_ White
Cause of death: Cancer of lung (2 years),
Anthracosis of ]ungs and pulmonary fibrosis
Signed by: James F. Peck, MD
Princeton IN 47670
Place of barial Walnut Hi11 Cemetery
or removal:
Ft. Branch IN 47648
Date of burial: 02/O1/1973
Funeral home: Colvin &'Son
S E A L
425 N. Main
Princeton IN 47670
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DEC 0 71992
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Signed by �!�(/��,��'�'� _
6ibson County Healt ortmissioner
Oakiand City, Indiana _ 11/13/
Address Date
Recorded locally in Book No. Page No. 68 Filed: 02/O1/1973