Death Certificate - Creek, Hansell Clifton_6/14/1993i_'_._._._'_'_._'_._._'_'_'_._._._._._.
00450 �
IVAPIDERBURGH COUNTY HEALTH DEPARTMENT •
. Roorn 127 Adminisfration Building - Civic Cenfer Complex - One Norlhwest Marfin Luthe� King Jr. Blvd. !
IEvansville, Indiana 47708-1828 ' 1
• CERTIFICATE OF DEATH REGISTRATION •
�hi8 �ertif ies, �
! THA'f ACCOfiDING TO LHE RECORDS OF 7HE HEAITl1 DEPARIMGN� •
I � I
' NAME HANSELL CLICTON CREEK �
• DIED IN VANDERBURGH COUNTY INDIANA ON nex�ic ze �E,,,, �.9y4 !
I• 71ME OF DC-ATFI 0��: ZO A.PL MMIIAL Si�IUS Mn�iCiEU SE% r�l,C AGE �3 RACE WkII'CE i
Isocin� secuniTV DAiE OF 131RTH �1�05/192.L I
IPIACE OF DEATN WELDURN BAPTIST IIOSPITAL I
I PRIMARY CAUSE OF DEAThI GIVEN WAS ❑EART UISEASF.-VfN1'RICULAR AItRIIYTIIM'LA I
SGVERE CARU10 VASCULAR OCCI.USIVE UISEASE �
iPHYSICIAN OR CORONER pAUL SIAMI, M. D. nurovsv Np I
Ir�nce o= BUqIAL Ofi HEMOVAL OWENSVILLE CEMETERY MANNER NATURAL DISEA56 i
IFUNEftAL HOME IIOLDIiRS FUN6RAL ❑OMB DAIE OF BURIAL 0���30/1994 I
• . �
I• CERTIFICATE NUMBER I
� OR VOLUME AND PAGE : O00OO93E DAiE ISSUED , OS�11�1994 i
INOi VALID UNLESS SIGNED 8 SEALEU �
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