Death Certificate - Tichenor, William Morton_1/18/1984RECORD OF DEATI3 •
�
GIBSON COUN1'Y DEPART➢iENT OF HEALTH
PRINCETON, INDIAN9
THIS IS TO CERTIFY, that our records show wTr r I�I Mnqmq� �T(o`��'�T�� died
_1/28/65 at 7:30PM ��_� nwensville, �nd
month day pear hour of death street, hospital, rural
Age at Death 7z Sex M. Color wh _ Marital Statuc p�,-,-; oa
years write whethez married or single
Primary cause of death given was Medullary failure, in
Signed by Glenn Dickenson, DO Owensvill�,_�_
physician or coroner address
Place of burial or remova� Owensville Owens_v_i l lP, Tnd_
name of cemeterp address
Date of burial 1/ 31 / 6 5
SEAL
Holder
Fwneral Director
address
G���--Y�'. .�
s,gnea
�.
Gibson County Health Coavnissioner
Dak-��nd F��T,�nd. 1�19/84
address date
Recorded locally in book No. H-50 Page No. 64 Ftiled:__ 1L30/65