Death Certificate - Bass, Harold S_7/7/1998/
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VANDERBURGH COUNTY HEALTH DEPARTMENT 11396
Room 127 Adminisfration Building • Civic Cenfer Complex - One Norfhwest Martin Lu(her King Jr. Blvd.
Evansville, Indiana 47708-1828
CERTIFICATE OF DEATH REGISTRATION
��jis �ertiFies, THAT ACCORDING TO THE FECORDS OF THE HEALTH DEPARTMENT
NAME HAROLD S. F3ASS
DIEDIN VANDERBURGH COUNTY INDIANAON
TIME OF DEATH OS: �ZS A. M. MARIT�L STATUS MARRIED
socin�secuairv .
Puce oF oenTr+ ' 41EL80RN BAPTIST HOSPITAL
JUNE OG
sex MALE nce 79
DATEOF�IfiTH O6/24/1918
PRIMARV CAUS[ OF DEATH GIVEN WAS HEART DISEASE-CONGESTIVE HEART FAILURE
PHYSICIAN OR CORONER ANDREW THZENEMAN, M. D. �
PLACG OF �URIAL OR RC-MOVAL SUNSET MEMORIAL, EVANSVILLE, IN
AUTOPSY NU
YEAR IJ�JB
ance IJHITE
MANNER NATURAL DISEASE
FuNer�n� HoMe, COLVIN FUNERAL NOME, PRINCETON, IN DATG OF OURIAL OE�O�I� I B9E
CERTIFICATE NUMBEF ' '
ORVOLUMEANDPAGE OOOO�I6T� DATEISSUED O6/18/1998
NOT VALID UNLESS SIGNED 8 SEALED
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VANOEROURGH COUNT � LTM OFFICER