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Death Certificate - Burton, Wayne S_4/14/2000___ _ _ , ---- ---- . - --- - : : _ -.: :._ -. - - �= _ - _ = _.; -_ _-:. ;-: �-_ . _- _ �__=�:'__., _'_-,__ , - - --- - -� - _. --- - � - _ :_ : . .- . - -:: ._ : --. _ _ _- : - ._- __ -_ .,_ - .- .,-: - - - - -- - - - - - - -- -- �--- :- - - -:: -- -_ _ _ .-:. . __ -_ - : :.:: .- _ : - : : : -: :.:-"- -: _- - __,•_- _- -._:: ,. . � 23555 - VANDERBURGH_COUNTY HEALTH DEPARTMENT:._::_.:- ___ __ - Room. 127 Administration Building :-.-Civic Center Complex •. One Northwest Martin Luther King dr. Blvd. _ - - - = Evansville,'Indiana 47708-1828 - � -- ' - � - CERTIFICATE _ OF.. .DEATH REGISTRATION-::-_° _ ��jis �erti f ie8; THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPAATMENT. -^- - ___ _ 'NnMe WAYNE S. - Bl1RTON = -_ - DIEDIN VANDERBURGH COUNTY�INDIANAON - ��ST.22 � � - yEAR 1997 � TIME OF DEATHOS: OO A. M. -' MARITAL STATUS M�RI� �. . SEX�LE AGE 84 •_ �.��+1HITE � � ' � DATEOF�BIRTH 05/19/1913 "- _ � SOCIAL SECURITY . . . -. � . - PLACE OP DEATH wELBORN BAPTIST HOSPZTAL . � � - � = � � _ . PRIMARY CAUSE OF DEATH GIVEN WAS SEPSIS-SEPTICEMIA - �� - . -. METASTATIC CARCINOMA OF LUNG ' � PHYSIGIAN OR CORONER KERRY , NEWMAN, M. D. ' nuroasvNO -.- _�-- auce oF suaiA� aa aeMOVn�'MEMORIAL PARK CREMATORy rnnNNea NATURAL DISEASE _FUN=_w+� Horne COWIN FUNERAC'HOME, PRINCETON� IN DA7E OF BURIAIDS�YS� I99J � - CER7IFICATE NUMBER • ' � '�� ' � � � ' OR VOIUME AND PAGE 00001563 _ _ __ _ . _ _ onre issueo �OS/2&/ 1997-_:: :_._`' "__ �: _ . . : ' - � - - - � - - - -- NOT VAWD UNLESS SIGNED 8 SEALED� '-- ' " _ _ _ . ' " - - - . . : � ,� �� _�_ � 4,11✓�E'j:r� ='.__�`_ i'�+l�o. � — . . _ . . ' - ._ _ ' . VANDERBURGHCOUNTY�H.LTHOFPICER.-__':_ _