Death Certificate - Blesch, Charles B_8/28/1995� �
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15917 �
I• VANDERBURGH COUNTY HEALTH DEPARTMENT �
Room 127 Administration Building - Civic Center Complex - One Northwest Martin Luti�er King Jr. Blvd. �
eEvansville, Indiana 4 7 708-7 82 8 f
• CERTIFICATE OF DEATH REGISTRATION •
� • _.
���ji8 �erti f ies, THAT ACCOFDING TO_THE RECORDS OF THE HEALTM DEPARTMENT I
! CHARLES B. BLESCA �� i
� NAME , �
• DIED IN VANDERBURGH COUNTY INDIANA ON '�Y zl ,,�R 1995 .
! TIME OF DEATH 1Z:3� A.K. MARITAL STATUS �IED S� MALE AGE %C �CE IV�IiITE I
' _ SOCIAL SECURITY . y 10�27/1918 I
DATE OF BIRTH
' PIACE OF OE4TH DEACONESS HOSPITAI. _ _ '
' PRIMARV CAUSE OF DEATH GIVEN WAS C?.NCER-METaSTATIC CANCER OF LUNG � I
• _ •
IPHYSICIAN OR CORONER QUENTIV Ei�RSON, �S.D. AUTOPSY NO I
! PLACE OF BUFIAL OR REMOVAL WALNUT HILL. FT. BRANCH.IPI MANNER :1ATURAL DISEASE I
IFUNERAL HOME STODGHILL FUNERAL HOME -. onre oF auain� 05/23 / 1995 I
ICERTIFICATE NUMBER I
� OR VOLUME AND PAGE 00000986 DATE ISSUED OSI3011995 •
iNO7 VALID UNLESS SIGNED 8 SEALED I
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VnNOERBURGN CWNTV HE WOFFlCER I
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