Death Certificate - Clutinger, David L Jr_2/22/1993i��� �������� �����e�� �����������r���� ��►•
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VANDERL3URGH COUPITY HEALTH DEPARTMENT
� Room 127 Administrafion Building - Civic Center Complex - One Northwest Martin Luther King Jr. Blvd. .
IEvansville, Indiana 4 7 708-7 828 I
� CERTIFICATE OF DEATH REGISTRATION i
���jis �ertif ies, THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT i
• UAF1D L. CLOTiNGLP.. JR. I
NAME
I DIED IN VANDERBURGH COUNTY INDIANA ON 01'I°RLP °z �EAR 1�`-�2 ,
ITIME OF DEATH � 1�� 4�i MARRAL STATUS '�11L1"12�� SE% �,?le AGE 6� RACE �'hite I
' SOCIAI SECURITY )-��� / DATE OF BIRiH ���TOBER 14 . 17Z2 I
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I �,enco��,ss ttusFiT,�� '
PLACE OF DEATH
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I PRIMARV CAUSE OF DEAiH GNEN WAS �I°aLC U15E?a5?- GFiFULU RLSPIF'�TORI ARFESI� I
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iPHYSICIANORCORONER �'��1III-I SHCIH• �I.U. AUTOPSY tPS I
IPIACE OF BURIAL OR REMOVAL �1T. Ul.l�`L'. ��L,��. � �11'.ULiP1PUS.I\ MANNER �aUIC81 �)1S�c SP I
IFUNERAL HOME �UL1'I� PU�CPv'iL IIOiIE. PRIiJ(;GI'Ui].I�l 4/6/O DATE OF BURIAL, lO�OJ�l�'�1Z '
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ICERTIFICATE NUMBER ��OOOL�J7/ IO�ZII9Z I
� OR VOLUME AND PAGE DATE ISSUED i
INOT VALID UNE55 SIGNED d SEALED �
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VpNDERBURGH COUNi NEA FFIGER I
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FEB 2 21993
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