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Death Certificate - Nulton, Homer Wayne_4/9/2018 D "r_rn_ '.; via-. - . . ' u� r �t stt ?,:ell p,,,, ln, ii / jt, tt .:Rrv/. ^�[1 tp . 1I4ir !�I I,' , yid , - F, A--KgIB SON @ OU�N�T),�DEPA'R:TiMENT_OF.4HEAUTkI�II�ilic ' �� �I '^ �4 SS y\ 800�St `Prnce §:t.-1:•N_., ' it% �_ ! f t Pnneeton� Indrana '4767'0 ! 1 / '�"� i '���I�r irlr .. .. 7 1 'ar`/ a R,+J....� -r 'it( i / ,. r ,l — e 1 t , /�1T1✓>-"It�lt 46��� 8112-3'85flR380 1 !/' ,,Ill S : . .11 1,1 :: ' R. i /\Iu .1 A; Ix/ • + r A,► r--- ,��I%.v\I<S < �I �\ I�� 1 ✓ti r ,y,A�"�' x 3 }�.'�'i�" , ,tit l /TT\/RE,'1C©RD■O D Htf; (////,t 11 j `li" j,\`ti l /' 1 "'►�+ `y� ito! j +xp[i��;.y3t✓ y n� nru i 1 ! J � � 1 i so D ��\ + THIS 'IS TOC6RT i�ic`\��r�+ \� � \\\� ..;.."0d- ��j�/\1C .�1 .r C%� 11 !that according, to lrecords of✓tthhe Gthson County Depar�\t of Heal h1I\4r q'- 4\ i 4Xr '• �Z1. /`1 %r.` I //�IiiV t 1' xI �� it 11 1. .,i / J =ti br, txl� 4a' ��>1ee \1, ' OMyER`WAYNE%NDVTON�\� �� r`.� \1'rt� y ♦\ > Y,, �1� • / Irt�ij ///511j iI1 �v1/ 6 ti' X;i�- k D d� .14/1999` 6 OAN • I\ 0 I /+/t\ , 1,I�I .„..."..4.141e14..,\,I li\ii}r I' x7 I,. "r� °�� 1. ••,,Gibson GeneralAHospita7\�\.. \\. y,,� \ .- " `K �° \.s ��� �O`oP .rL.Ol� vi' \\ \i ? T ''P' `1�" �� wl -A �39 ,' �4 180.Sherman�Dr-ive i � � P ; . .s i 1a� Y .!' .✓' nn. gnu r Pno�.,fi I 1 I \ i• 11 ff1� �..r 1;;;95.S I 11r 9'.-"" At. 'I4I'`'M% P.r-inceton IN 476�,0��� �J'jI III\���I�I}1'II ti I�.'r -,$ 1 - tr- .A> � L< '' . {{/\\ 'v`\\ .4�\r ti'o:'*"�~`:\.f},/\ `/\\fir-{*_dol%o,' 1i. AI� k :0111:,1 t°.�' 'Age>a�dedth`°�80*Years >13`� Sex Nf-A• \v� \\ \r� , 'j`�� �\i'+ `�� Or\ _1T a t t�° 1 } ,I. t 1 �`II i 1 F"'�} t �I e' 1�- .�q 1 ,/ 1 �..i s, .11 at �It2..I1 a ,i1 �I���I�I%�I.-' kr Marital Status ,Married' Color.: White .. c= A+ 1 +N. A l) Cerebrova_ scalar-^Disease�L Sudden �i' If}1.Ii'I v if ial ;, „- Ouse of death j1t,t �1+ / �,` �/� 1" � �-' .r -� °., r,. 1. rI '_"1I1 cra 1P.rerkt+. .0 ,_,,, "sYfl t1 jI�9 / I / / �� ' d / s :Atrrial Fibrilla'fan 1 -fit Renal Disease ✓�\� '\ � '^ s ,� '�q'- `\\�3, � Q�-�� e ♦ ��tir r � �,; •4�,'-v, \�i �\\I��.tl� �'� o x-' \�. ASHD with CHF` `�I't al v-e o i° �\r\I Yo,,,g\tI� �I sI; I;I�`�j 4,I t ,,'f'4`\II1 ,AVe 1111 11� {1�� � T � � f'L��� / � 11111/ � -/'f'� S i}aed y' - I:11 am R. Wel eM13 \r,: , .�'4�I4 t/ I ._-A' �I�I 1 'r•' X 4 f' �I�1 r\• e ;-`�` H��>y5.1x041 MaiindSG. ``. _L 4. ��LE'. o .. \� ,. Princeton IN 47670 �'sr/ �/ +�' �', :,y! 1 " .1 t� �*a ' t;) + P,'lace of burial Owensvl•11e Cemeter, ti (J �i•�t7 ,w� I V k ri:rs•cw-or' r{�emval.�`�'`+tik�b�>�t�t'-,;n \ ��l'\`�\�<APR 9- 20i8�f:r.\�\�.,,• �•, �1 -i1 1 °mod ' i Owensville IN-r4r7665 0I,,, I ; ,,, t r�„/1,,' 1 i CH-IC- S tX ��*Irre ik4 I III< x III< t ° • I1lIjl ; ;*A „.. ,Date;of�burial\10/17,/1999 �t �� ' i'\\ �� w�- �4 ` j "�` ° g t --- t5i I.1t i'`I,� ! GIBSON,COUNT,Yy JUDITQXRr Ti� +I ! };f Funeral home Holders Funeral' Home of .-. / ?f; 21 ,z �� \�° Gibson County�Inc. \� \�y \\`� � �\ �\ i.---::--;1' r, t1 P. c, aox�sia�Tdi �//.��‘,r/ �//��lry4 /4 � /��� it, / '� �"i∎I Egly 151e�IN�It47665\I I� / - i.,,II F ulJtg{�XiI, I'ItI'v% 111'1 11 1•4 , ♦'9 'del' 1% II `\�I Slgnediby ril%ti 4�s. IL� ...� Si1 ;' ' 1 . 1s'fz ta,` �'!{ N.44 `` t - �s/'�°i, �� _:�`\1 , ,,,¢G bson antyQHealth""Com_miss�.onee y` v'- vYf r ,= �` \ i �\`� A ft j#iiflØ 1 ty'j�Str t. /111 0,\ - 4' aF l /1' j_J 3+ - Princeton, 'Indiana`:b..,1 /tO3/i0S'/•18 1_ �i -��\`a,: , ,, -' es ° 1Y' \ a^.:A`ddress t T� >'Datey" �.�`•s `��.�^�(1 p,'r�' �.1�/�►rte\-'1/ r���� `1 i{_. t ,f r�- ��� ucr,` f ,1 nom" t jir� � ,�/Il I11t / jig' s 4! t r 11r C}t" ` /I s j I 1 �� �[ .�.f o,A'a`4� �� /}� ir'` I\�v�w r�\� rPâ I" Recorded .localtl Boot Nr (F�'Pallo1 " 411 +- \aI \it�• t %`I ioc-,-;Ait .,-.•d" : , 1� ,I . �1 �I ,ll l,�zl' t-,sI4.� ��� Ijl 1, ,. (� o y , 4, 03ttyi ,bm G� o/lN- Ds;I;i\jit,\��\dl%\� ,/�1 csr,g :\7/ R .X\�� t,Z « tr.'' a 1tr_ 11 i .«a 1�1f�, 1e sX t ; all 'k WA R N I N G 1JRNS I:DOCUMENT HAS!A'IJJO 0 HE NED BACKORWN�ON SP +.HARE HIDDE1 VOID OR'ANDNNE GREAPFEAR OF ENE STATE OFyINDW U ON d4CK T AT . TUNNS FROM ORANGE.TO:YELLOW.WHEN'NBBED IORIGWAL�[IOCUMENT.NASA HIDDEN.'&12,.N.FRONTaTHAT;AAPP,,,,Le HEN� .,-..00PIED . .v..0 III r- 1J15 ,_we�oi aT avill�«yMV .a -.,roc+fnrir . /�hYm�3b. /s.ain vr�,wv n-asv..LC.,ww.n X