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Death Certificate - Blume, Raymond A_2/8/1999l T,r'I�. �' ' 1��• � ; ,_L . {�' �—. , �� � -- �- �� � ;_ ',, ', ' VANDERB � �Room�127Admimst�ation:8o �� � � 1- I i�- i'� 1 �� � -�i' .( �- � � .r_ I"?'1 . ��' --s,'_ ;�-'-=;,i==-CERTI.F,I_C �� `.T�h�=--�ertif ie � � i � - . -.�`-i. � 1;-1,'1 : .. . I � I�� '�I f� . � `I'_11_ 'Nnr�E RAYMOND A.�-BLUM ^ -.1_- I I..-'-'' . t ii '-=I �i ��� � - -o�EO�N VANDERBUR =r � f ` t j=t � " -� - 02 32'F M. S TIMEAF DEATH� � � -`� ' i �1"�, I� " �'"_ i=-+_� � 1 �' -�socinisecuain � ` ��. .� � �__ 1--!-�='`� =- rucE oF oEnTii wEL'BORN:I �j� -- � � i ,i ��--, . - �� - i j, 1,_ f� �_PRIMARY CAUSE OF DEATH GIVEf ' ! ,- ` I� r 1/ ' = 1�.1�_� �� � - � i� "` -_ L -�11��� r� 1 _ -.i^�'�'^ � , -.f�i! .r__�-4�.._�- o,?�'-k 1.��'1��'Z'L��1�'1 , ;- fHAT'A r� � = -`�i= _� MARRAL, S =�1�- il=r' �� ,� ,. � � �� ,- i� ,��I �: ENAL-FAILUF ..� .� � •"'`!�' I ' .' � �� .�' 1. .1�-I� _ .� .. _ _� . 'I� � I ' � � � , � i,— HE �RECORDSAF�THE^tF i�F � , TI 1. I �� �ll�ir� . ���- _ I ��-- 1= 1�, �! � ''�`t���' �N: _r�v o� i;_. �� ,_ �� '�-;r�t- � t,__, _�_ � � �. ��tl' ��ti a� � i-1S='fC� ��e+�-M i� ' �� Y 1 �� �-.ly�PUICE OF BURIAL OR�REMOVAL�STS.'-PETER & P,Al1L �� HAUB: � , e . ; i � : � ,. �• �. � lt�' !� �,,,�'`�i - 1 i i ( r � � - ! ',�/ �'r�',FUNERALHOM�'r;,�qpE FUNERAL-�HOME;;�'HAl/8S7FIDT;: rc �t,'r N � . y. t 1� I r � 1-i.,_, , � -� r'7. �f �� -rl � � .a�°�l-KfT-+1` 11 r - j����_CERTIFICATENUMBERii- 1� �"�� fi �����I� iil �I�. , r �� �. -�> OR VOLUME•AND AGE'� 1 �` �� } � �'� � ; 1 _ ! yl ' _., ,��..t„ 00000950�-� �� _y �� � -= . '� �ifT "r f � } :1..�+-%�t w ��L-. I{= 1 �! 11� �-fi� t�_'"1 ;, �. �., + � lr--� -17` ! � - . � '= t `+ I: 1 ! . �I +il lt-v 13��`'I�' 1 � � r , � � ,,- �� , i� � ,� , .�`�� 1-; e . i � � � I .�_' I i . �1'"_I{ �i . .li' S' � '+�� i" � 1 �� �� I . I '� � , � `"� - -- � . �,- � -�I-- I -,�=11 - --��- r _ _ -.I_. �� _ __ � � _ __ __ � � _ _ _ �_ � __" �_. ��_ _... _� �.•� _ i.;..: _'____•• t �� _• _ � �_ _ �II�--' — � - -�' —, _—�� — i`��--�. - � .1 . � . 1 _ 'I���, : ��� � . �' I � ' ' 10052 �� NTi-�-, � _ �'�- er King �Jr Blvd _=i � ' Y� : � • t; I -=1 I ai :M:Vi-� �� �' I Y . " � �,_..!�� �_�.��. urowu ,I "� sEXMALE I, AGE �� � � =aAC�+n� r��, - . I"liy `I�—�� �'�-; �� � �I . —�I . ��=j�=� + .�!. I �1 i DF BIRTH � ��O �� � 922 - -Y I ��J - - .�. i r I �� �� .i i� �-� �� � H-.=� il . I--'� I - 1 -' 1 9/�" �i _-�r rl , 1.=1! �'� � - f r-t�c l. �,' �"� I J � _ ,-� ,I � � � I' I ,� '- I� � ' �: ,� .i +1-1 I � I� .�- �T 'V (I 1 II ! 11 1� -�� I�' I 1' 11 - I�' ' I`-� -.r�� � I �( V I -�1 " I� �1 ' yI�y _� 1 1�_i ll �I_�I)'_ T..� I'.1 � 1'/�" � I �� I�AUTOPSYI'fO � � c-� � � -i � �� �: -� k= �' t i':�!_ i' I: .-= i . 1 r_ � I f' N� �_ � MANNE? NATURAL- DISEASE ,'� �' f: i -i u-- _I ��!. �..—II DA7E OF_BURIAt�SI'.� ��.� 995� 11 I' �f � tl--�I i n, _� ,. i i �Y�,'�= —1 1" ; 11 I � `� � i` � � ' � �I �� �I..L�' 1 �_ � � _ � t � ;TEISSUED 05/1'4/1i998 :- �? i 14 ; -. � � . 1-TI I I YIi �'� ��1 II .- 1.�. � - 1= i I Al1D.UNLESS SIGNED $ SEALED - � �i- i n � ``' � Yy� w�;( � - I � //� ��^'� ' ',f � �� q° �i r � I� _,i' "�'",'" II-; ✓ � II "� ND . y�,,� �'� VANDERBURGH COUNiY HEALTH OFFICER I' __ I' p,y : -C.i�� �� _ _I�_�.t_ � _ �:.._ _ _ _ _- __ _ __ . .. ' ��._-i� I't�'_ 1 _'•. � '.