Death Certificate - Nixon, Otis J_4/14/1978� /
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� RECORD OF DEATH
_ _. GIBSON COUNTY DEPART➢1ENT OF HEALTH
. PRINCETON, INDIANA
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THIS IS TO CERTIFY, that our records show nTTS� NIXON d��
- Aug. 24, 1967at 8PM Hazleton, Ind.
' month day year hour ot death street, hospital, rural
9ge at Death 76 gea Male Color �ite n.iarital Status_ Narried
Seats - write w•hether married or singte
Primary cause of deatli given was Acute myocardial� infa zretmon
_ Signed by R. E. 49eitzel, MD Princeton, Ind.
- _ yi�ysicinn or coroner . address � �� � ��
Place of burial or removal Mt. Olive Mt. 0lympus, Ind.
. name of cemetery . address
Date of burial $�27�67 Colvin & Son Princeton, Ind.
- _ Funeral Director address
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SEAL , Signed '
Gibson County Aealth Commissioner �
� Oakland City, Ind. 4/13/7$
.. address date .
Recorded ]ocally in book No. H-5� Page No. 97 F'iled: 9�5�67 �'�.
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