Death Certificate - Bain, Eugene David_7/10/2007_ia_in�-
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VANDERBURGH COUNTY HEALTH DEPARTMENT 06596
Evansville, Indiana
CERTIFICATE OF DEATH
��jia �ertif ies, THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT
�E EUGENE DAVID SAIN
DIEDIN VANDERBURGH COUNTY INDIANAON FEBRUARY 10 �� zoo6
TiNE OFDEATH 10: 50 P.H. �R� srnrus �RIED SEX �I'F' AGE 74 ancE �ITE
SOCIALSECURITY DATEOFBIRTH 08/21/1931
PLACEOFDEATH �A CHARLIER HOSPICE CENTER
PRIMARY CAUSE OF DEATH GNEN YWS �OXIC ENCEPHALAPATfiY
ACUTE MYOCARDIAL INFARCTION
arirsiawoacoaoNea PATRZCK FLAMION, M.D.
PLACE OF BURIAL OR REMOVAL TUPMAN CFMETERY
FUNEf7AL HONE AI.EXANDER FUNERAL HOME WEST
AUTOPSY NO
MANNER NATURAL DISEASE
DATE OF BURIAL 02/14/2006
CERTIFICA7E NUUBER
OR VOLUME ANDPAGE 0000U282 DATE ISSUED 02/16/2006
NOT VALID UNLESS SIGNED 8 SEALED
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