Death Certificate - Henson, John Hi_6/5/2007VANDERBURGH COUNTY HEALTH DEPARTMEtdT
Evansville, Indiana
CERTIFICATE OF DEATH
��jis �ertif ies, THAT ACCOFDING TO THE RECORDS OF THE HEALTH DEPARTMENT
ruNe JOHI� HI HENSON
DIEDIN VANDERBURGH COUNTY WpqNqpN
TIN,EOFDEATH 12:23 A.M. V�G.RITALSTATUS MARRIED
socw� secuairv
PLACEOFDEATH ST. MARY'S MEDICAL CENTER
PRIM�ARV CAUSE OF DEATH GN'cN t1..S CARDIAC A.RREST
JA.Iv'UARY 04
SEX �.LE AGE �4
DATEOFBIRTH 11/Ol/1930
PHVSICIlW OR CORO�ER gEAN?.RD FOGELSOI�, M. D.
PLFCE OF BURIFL OR RENOVAL HIGHLAND MEMORIAL CEMETERY, IL
FuvEan�HOVe SHORT—CUNNINGHAM FUNERAL HONE
CcRTIFlCATE NUNBEfl
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YEtF ZQQ�j
ance 4P.-IITE
AUTOPSY NO
MANNER NATURAL DISEASE
DATEOFBURIAL 01/07/2005
OR VOIU?AE MDPAGE 00000054 DATE ISSUED Ol/14/2005
� NOT VALID UNLESS SIGNED 8 SEALED
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