Death Certificate - Burns, Paul E_10/15/2002�
VAPIDERBURGN COUNTY HEALTH DEPARTAAENT 08563
Roan 127 Administration Building - Civic Cerrter Canplex - One NaUnvesi Mariin Luther King Jr. BNd
E�an.sville, Indrana 47708-1828 D � �
CERTIFICATE OF DEATH �Op u
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�{!►(7 �i L�I¢��S � THAT ACCORDING TO THE RECOR�S OF THE HEALTH DEPARTMENT
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w�ME PAUL E . ' BURNS
DIEDIN VANDERBURGH COUNTY INDIANAON s�r�� z3
i1NEOFDEATH 05:55 P.M. ,,�iru.srnrus M�RI� SE% �'E AGE 71
socw� secuaiTV DATE OF BlFliti
auce aF oEnrH ST. MARY' S MEDICAL CENTER
?RIMARY CAUSE OF DEAiH GNEN WAS �ELODYSPLASIA WITH LEUKEMIC
TRANSFERMATION
PHYSICIANORCORONER RICK BAISAU, M.D. �
03/13/1931
nuroasr NO
Y�r,R 2OOZ
ance WHITE
PLACEOFBURIALORREMOVAL I.O.O.F—FRANCISCO,IN MANNER NATURAL DISEASE'
FUNE.RAL40ME COLVIN FUNERAL HOME, PRINCETON,IN DA7EOFBURIAL 09/26/2002
CEflTiFICATE NUMBER
OR VCLUME AND PAGE 00001859 DA7E ISSUED 09/30/2002
NOT VAIID UNLESS SIGNED 8 SEALED
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N.D.
VtNDERBUR(iH COUNiY H�' OFFICEII R ��