Death Certificate - Nelson, Gerald_12/8/2004. n��!�uc .�.rtcwew��_!!��iuiv i�4euduR uwmox�wc,�,�r,�u� naqlu_u�w e.uun�» n;nc�n uvwn�eimR
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RECORD OF DEATH
THIS IS TO CfiRTIFY
that according to the records of the Gibson County Department of Health,
GHRALD "CORRY" NELSON
Died Oa 04/O1/2003 dt 6:04PM
Gibson General Hospital
1808 Sherman Drive
Princeton IN 47670
Age at death . 58 Years
Marital Status: Married
Sex: M
Color: White
Cause of death: Cardio Respiratory Failure,
Acute Ventricular Fibrillation,
Acute Coronary Event,
Coronary Atheriosclerosis.
Signed by: Paul V. Sanning, M.D.
Welborn Clinic
Princeton IN 47670
Place of burial Somerville Cemetery
or removal:
Somerville IN 47683
Date of burial: 04/OB/2003
Funeral home:
S E A L
i,amb-Basham htemorial Chapel
Ul/tS54
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GIBSO CN OUf TY AUBITOR
226 E. Washington .
Oakland City IN 47660
Signed by � G /`~���
Gibson County Health Commissioner
Princeton, Indiana 12/OS/04
Address Date.
Recorded locally in Book No. 14 Page No. 60 Filed: 04/09/2003
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