Death Certificate - Nixon, Charles_1/6/2003Q
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GIBSON OUN�Y hU0170�' '
VAPIDERBURGH COUNTY NEALTH DEPARTMENT 10079 ;
Room 127 Administralion Building - Civic Center Corrplex - One Natf nvest Matin Luther King Jr. BNd. ,
Evaruville, Nd'rana 47708-1828
CERTIFICATE OF DEATH
�t�is �ertif ie8, THAT ACCORDING TO THE REGORDS OF THE HEALTH DEPARTMENT
�E CHARLES R. NIXON __
DIEDIN VANDERBURGH COUNTY wo�,oN ��B�x 23 ;� Y� 2002 .
i1ME OF DEATH 10: 50 P. M. �R� srnrus �RIED _ sex �'E. .�E 62 �E WHITE, �.
socw� secuain ��oF B1� Ol/07/1940
PIACE OF DEATH ST . MARY' S MEDICAL CENTER
PRW,ARY CAUSE OF DEA7H GNEN WAS �LON PERFUSION
PHYSICIANORCARONER RICHARD P. SLOAN, M.D. nutoPSV NO
PLACE OF BURIAL OFi REMOVAL ARCHER CEMETERY, PRINCETON, IN MANNER NA'I'URAL DISEASfi
FUNERAL HOME CULVIN FUPiERAL HOME, PRZNCETON, IN DAiE OF BURIAL 10/26/2002
CEFi(IFlCATE NUMBER �
OR VOLUME AND PAGE 00�021�4 pqTE ISSUED 10/30/2002
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NOT VAL1D UNLESS 57GNED 8 SEALED
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V.WDERBURCHCOUNTVH OFFICER
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