Death Certificate - Hensley, Arthur Clinton_7/21/2004GIB�I 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 Gibson Couaty Department of Health,
ARTHIIR CLINTON HENSLEY
Died o¢ 10/08/2003 at S:OOAM
Residence
R.R.# 3 Box 433
Princeton,
Age at death . 75 Years Sex: M
Marital Status: Married Color: White . �
Cause of death: Artherosclerotic Cardiovascular Disease.
Alsheimer's, and Diabetes Mellitus.
Manner of death: Natural
Signed by: Yong Cho, hID
1808 Sherman Drive
Princeton ZN 47670
Place of burial Highland Memorial Park
or removal:
Mt. Carmel IL 62863
Date of burial: 10/11/2003
Funeral home: Short Funeral Home
527 Mulberry Street
Mt. Carmel IL 62863-2097
S E A L
Signed by �� �' i���O' ��� �
Gibson County Health Commissioner
Princeton, Indiana 02/03/04
Address Date
Recorded locally in Book No. la Page No. 73 Filed: 10/14/2003