Death Certificate - Henson, Nick_1/14/1997GIBSON C(`�NTY DEPARTMENT � HEALTH
800 S. Prince St.
Princeton, Zndiana 47670
812-385-3831
RECORD OF DEATH
THIS ZS TO CERTIFY
that according to the records of the Gibson County Department of Health,
0
Died on 10/19/1985 at 11:37P
NICR HBNSON
White River Township
Age at death . 32 Years
Marital Status: Married
Sex: M
Color: White
m
Cause of death: Transection of Aorta, Left Hemopneumothorax and
Hemopericardium (seconds)
Signed by: Richard D. Hickrod, Coroner
425 N. Main
Princeton IN 47670
Place of burial Highland Memorial
or removal:
Date of burial:
Funeral home:
S E A L
Mt. Carmel IL 62863
10/22/1985
Short Funeral Home
527 Mulberry
Mt. Carmel IL 62863
Signed by ��'����"�G•As7
Gibson County He th Commissioner
Oakland City, Indiana O1/14/97
Address Date
Recorded locally in Book No. Page No. 156 Filed: 10/22/1985