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Death Certificate - Burnes, John W_9/17/1992.Jti '738 , , , ;; , ,� � , , � � ' 39 , VANDERBURGH COUNTY HEALTH DEPARTMENT � , � Room 127 Civic Center;- One N.W. 7th.Street • , Evansville,'Indiana 47708-1828 � •� : ,� CERTIFICATE OF DEATH REGISTRATION � , : ��jis �erti f ies; ' TN�T ACCORDING TO'THE RECORDS OF THE NEALTH OEPARTMENT , I . .. i. . : .I . i' I ., � . i ' ' � � � . . �� �� � �I � �� I' .I ' , ,� .�i �� � .i . ,I :� , � .i I . �I : . ,i � . 1 I n I �� ' . I ''',1 � I � I I' � - i ` ' 'i .j i ' I �I � ' II � 1 NAME i I� J011N W li DUI2NF.S ��.i �I i r� ' ��� �� 1 � I � i� �i � I. �;' i. i: '� . i� q .r i� 'i :� �. �� :. 1 !:'.; J , � � i� . �� �i �i .j 1 �� i ., i�. I � . 1 ;. o�EO �N VANDERBURGH ;COUNTY INDIANAfON � �� '� r�nY' o� � � �, `,�.�EAR '; ;; ' �199 � � ,( � , � i � ,,. � , � '� � i'i ,. Ii �1 '' 'i'': �' ,� �� ' " '_ � � � .. I , ' ' -� �.� � � �i � �, TIME OF OEATH' �� 8. 2� F'%� MARIIAL STATUS � Muriied � sex '' ; Ptale; ncE n :82 � RACE '� W�'11Le . . � . :� �� ;i � � II �� : � � ,f ' • � DATE OP BIRTN i � SCPTCMI3L'R 04 �;�:9U8 ' � � ii r . , d �' �: i� ' i i � � l. 71 I � I.� II', i� 'I!' 1� . I� � fl �.-i� . �� �11 �.,,j. I� ' I� •':� , ii . � � I i. L I �' � � .i i I�• I i �� li n �� ; 1 �i � PLACE OF DEATH I)�Ai�.�NESS� IIUS�ITA� ��� � � Ii II i i I" �;'II i� ��� �� i I' ' �� I i I I .. , ! i .i � �� � '� l. I� � � 'I ; ' '1 � ': �; �I ��: � � ;, u .r i .ii � ii i �; � i li ii � � I, . �, , � 1 i i� •'i. I, ii �' �I PRIMARVCAUSEOFDEATHGIVENWAS ���Iteait'D,isease- CARUIO�!PUIdONARY��FAILURE� i i,. � . . � i � � „ i - ' i n �� i ' �I � I ' i , �� � , � ,� , i I' � i' li �' �� i', i. .II i� �� i ii i I � ' i I� ;I �:I �� ; � i �� t �j i� � i � � i i' � �i . 1, ' ' : . .. �, � I �. .i r I,i I :, :�� 1 I.,I I�� �:.I i. � I� �� ;i � � i I ' �. ,�� � ., �..il , ,i . I� �''. ' i �� 'u �� I � i� �i �AUTOPSV'! � � � PHVSICIANORCOPONER ��� , RONALU WADUELL„ M U�:ll: �I 1i I �,.� .� � � . ,, . .Ni '. , .�, �'.' ' ' . .� �i . :il � i : II �� I� II.:'li -i .�.i i � � � i �I / �., :i � j� . �. u � u u ' � - PLACEOFBURIALORREMOVALj ' ST�.i �JOSEPtI. CEMGTIiRY,�.� �� I�� ��, 1 i MANNER ,;�N�tural Disease� . y :� . il � I� �I ;i �I i� � �� i �� � I � II �� i I . � .. . �' , i .. �,'. � ' �i ji i ',. : _ ,� 1� ,. �; II �� I �� I� �',I I t.l '� �. � �i DAIE OF BURIAL:� , FUNERALHOMQ �� • PIERRC' FUNERAL IIOME,`�2G01� W�P',RAN�CLIN i r ` ; OSI09/1991� ,• . . ��., . . i ' . . �� i 'i� I )...,I � I � �I i, � �� .� J I �i - � :� il . i ❑ . �� ' �� i� �;I'i I i �` . Il��i li� II' I��� li � li � �i'� i� �� 1 �� I � � � i' j� �� i'' CERTIFICATENUMBER �� ��00000�3.7� i�� i' �'��� f � il. I �{ i� li �� ��il �' 1��8�z �92 � ��. . OR VOLUME AND PAGE�I �I .�� II}� i�'. ' '� I�. i� � i� ,� I! II DATE',iS5UE0. �I ,I ��i ����j I� I I�..I�� II ' • i �i , , . ; i �� �I '' � ' � NO ALID UNLE I('�N B�SEALf�/��f /��/ / � .. � . . . � � � (,�.�����%�.:�(�l'T;��. � ' ti� SEE;OTHER SIDE' ,� ' , : ;; � , . , �' M,o. � . . ' i � �i � I II . ' �I V� ., , �; � ,� , i. jl i: I� :� :VANOEfi8U�6HCOUNiV NEA�IHOFFICE� , . . .� � � :I i� �� �� i . n I' . i' �� :I '' �� 11 I � ,� . .. r . � �� . �. . _ . . , � . , . .. . '__ _ ' �.i