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Death Certificate - Adamson, John Lester_1/4/1995I_._._._. �_._._._'_._._i_._._._._._._. 09294 • VANDERBURGH COUNTY Ii�ALTH ti��FAR7l�i�ENi i Room 127 AdministratiDn Building - Civic Center Complex - One Northwest Martin Luther King Jr. Blvd. IEvansville, Indiana 47708-1828 • CERTIFICATE OF DEATH REGISTRATION ���jis �ertif ies, THAT aCCOR0ING TO THE RECORDS OF THE HEALTH DEPARTMENT � . . . !� NAME JOHh LESTER ADAMSON DIED IN VANDERBURGH COUNTY �NO�ANA oN DECEMBER 17 Y�,q 1994 ! TIME OF DEATHOE:12 A.M. MARITAL STATUS MARRIED SE% �'iALE AGE �9 RACEk�TE Isocin�secuain DATEOFBIRTH 04�12/1915 ' PLACE OF DEATH DF�ICONESS HOSPITAL. fPRIMARV CAUSE OF DEATH GIVEN WAS CANCER—LUNG CANCER • I • PHYSICIAN OR COFONER RZCP CRA[,'FORD. M.D. nuroasv NO ! PLACE OF BURIAL OR REMOVAL,�OUIQT t'IORI.AA CEMETERY MANNER pjATURAL DISEASE ' FUNERAL HOME HOLDERS FU?�ERAL HO�'SE , Oh'E1CS�'ILLE � IA� DATE OP BURIAL 1Z � 1 J� I99 G ICERTIFICATE NUMBER � OR VOLUME AND PAGE OOOOZJS4 DATE ISSUED 12/27/1994 INOT VALID UNLESS SIGNED 8 SEALED I �tr+°'-it� "'L /y�l�• ` A �%I/J �� S 1 � VANDERBUPGM GOUNTY HE(KT�!' FFICEA � - . •��� �������� �������� ������������������