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
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� VANDERBUPGM GOUNTY HE(KT�!' FFICEA � -
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