Death Certificate - Byers, Jim_4/14/2000�
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VANDERBURGH COUNTY HEALTH DEPARTIVIENT �0999
Foom 727 Administia�ion 6uilding - Civic Center Complex - One No�ihwesf Martin Lu�her King Jr. Blvd.
Evansville, Indiana 47708-7828
CERTIFICATE OF DEATH REGISTRATION
��ji8� �ertif ie8, THAT ACCORDING i0 THE RECOiiDS OF THE HEALTH DEPARTIdEt�T
NAME JIM BYERS
oieoiri VANDERBURUH COUNTY IWDIANAOtJ uCT08ER 2C �EAR 1997
TME OF DEATH Oti : ZS P. P1. �,�Aqirn� sTnrus MARRIED
SOpAL SEWRITV
PLACE OF DEATH DEACONESS HOSPITAL
sExMALE AcE G9 RacEwHITE
DATEOFBIRTH ���14��9Z�
PRIIdARY CAUSE OF DEATH GIVEtJ WAS HEART DISEASE-CONGESTIVE HEART FAILURE
SQUAMOUS CELL LUNG CANCER
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PHV�SICIAAOP^090HER UANIEL SNIREY, M.D.
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PLACE OF BURIAL OR REMOVAL �l.ALNUT HI LL, FOR7 BRAMCFI, 1fJ
'.FUtJERAL�HQM� ��; �TODGHILL FUNERAL HUP1E, FORT SRANC1f,IN
� CERTIF�CATE NUMBER
AUiOPSYNO
�nnwNea NATUP..1L DISEASE
DATE OF BURIALI O�?3� I9QJ
ORVOLWilEANOPAGE�OOOOIS%rSI DATEISSUED ��/03/I997
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NOi VALIO UNLESS SIGIlED 8 SEALED
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