Death Certificate - Chapman, Dale P_4/15/1999� . _ _- � � �
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VANDERBURGH COUNTY HEALTH DEPARTNEENT ` ��43.31
Room 127 Administration Building - Civic Center Complex - One Northwest Martin Luiher King Jr. Blvd.
Evansville, Indiana 47708-1828
CERTIFICATE OF DEATH REGISTRATION
�his �ertif ies, THAT ACCORDING TO THE RECORDS OF THE HEAL7H DEPARTMENT
N�vnE DALE P. CHAPMAN
DIEDIN VANDERBURGH COUNTY INDIANAON TANUARY �O Y�R 1998
TIME OF DEA7H � O: SH P. M
SOCIAL SECURITV �
MnaiTn� srnTUS MARRIED SEXMALE AGE �� qACEwNZTE
auceoFOEnrH wELBORN BAATIST NUSPITAL
DATE OF BIRTH � 2� ��� � 92�
PflIMARY CAUSE OF DEATH GIVEN WAS HEART DISEASE-MyOCARDIAL INFARCTION
rHVSianN oa coaoNea JOHN ALLEGA, M. D.
PL4CE OF BURIAL OR REMOVAL OAK HI LL CEMETERY
FUNERAL HOME B�ONE FUNERAL HOME
CERTIFICATE NUMBER
ORVOLUMEANDPAGE OOOOOOSS
AUTOPSY YES
MANNER NATURAL DISEASE
DATE.OF BURIALO �� � 4�� I�I H
DATEISSUED 01/13/1998
NOT VAL1D UNLESS SIGNED 8 SEALED
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