Death Certificate - Bent, John W_6/28/1999� ��(:I- oo�� �- o �
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i 15371 �
VANDERBURGH COUNTY NEALTH DEPARTMENT �
I Room 127 Administrafion Building - Civic Center Complex - One Northwest Martin Lutiier King Jr. Blvd. !
IEvansville, Indiana 47708-1828 f
• CERTIFICATE OF DEATH REGISTRATION •
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jis �ertif ies, TNAT ACCORDING TO iHE RECORDS OF THE NLALTH DEPARTMENT !
!iNnME JOHN W. 6ENT i
DIED IN VANDERBURGH COUNTY INDIANA ON APRIL ZS , yEAR 1�)�S i
iTIME OF DEATH OS:3O A.M. MARITAL STATUS �'��IED -$E% MALE .. AGE 78 ance WHIT& I
ISOCIAL SECURITY DATE OF BIRTH 08118 � 191G '
' PLACE OF DEATN ST. P1ARl" S MEDICAL CENTER I
IPRIMARY CAUSE OP DEATH GIVEN WAS }IEAR'C UISEASE—CORONARY ARTERY DISEASE I
� DIABETES MELLITUS
IPHYSICIAN OR CORONER DONALD GLS}IOPI' , CL D. AUTOPSV [�Q i
! PLACE OF BURIAL OR REMOVAL HIALNUT 2iILL� FT.DRANCH�IN MANNER NATURAL DISEASG !
IFuNean� HoMe STODGFIILL �UNERAL HOME DATE OF BURIALO4�Z%�19�)S !
ICERTIFICATE NUMBER I
� OR VOLUME AND PAGE OOOOOGGO DATE ISSUED OS�1G/1995 �
! � NOTVALIDUNLESSSIGNEDBSEALED i
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� M.D. �
V�NpERpURGN COUNiV HEq 11 OFFICGR
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