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Death Certificate - Cochren, Roy E_4/25/1995�� .� , • �; . _...___ - - -- -- -. - - �- - ='=,-�:-.;_ -- :,_°_ - ::� -. ; :; I � �; _ VANDERBURGN COUN , , ,-. _. _.. __,.. , , .-., -_.:. . ._ : . _. _ -: - _;- - - -:: - :;:.Roorim;.127. Civic �Cer . ,„ � � --��' - � �- - - - Evansville,'In .:�i ... --:� � ' - - =�i - .. _ . :_ �.:�:::= .-':'-;= =-� CERTIFICATE _OF..D *Q y�rLf t�-� �. � '•:'•:'��`(J �QLiif iQBI �THATACCORDIN( . ��' i � , � � �k � ' � NAME , . �.RO�-�E._� cecHIZE� , ' �' - .. .. ., _ , . .. .. , .:. _ . � ., �: . ,_. _ . : - .. _.,...;. _ ::, � �_ o�EO�NVANDERBURGH COUNTY �N .. -.•:...,' ..'_ ' . .�.-..;I--,_..._...:..c:._•i�:_ �" �_': TIME OF DEATH �-.' j,' 3 i.! o"t. ' MARITAL" STATUS ' f:i' , �.-�:.,�-.r�- •-� - --- -�--- . .. .'� ,- , _ _ :. i � ...,.. . . . . . _ i'. ._... _. . _.._... _._ . _.,'_ . , - _ . . ,• " ,. :. .. ,. �. -. . .. ; � :, '_""'_._ ' . . ' ' - -: .: soca�-sECUaiTr — :- - -;, - - �: � `f� "�. ' _ _.i_, _ _ _ _ " . _. _ '.� -. ' j; _ . PLACEOFDEATH DF�f,O\ESS HOSPTT-�� - .. ".i��" . . � - = t�i_._': . ' � .- - = ' ' �' n ' �: PRIMApY�CAUSE OF DEATH GIVEN�WAS � •St OICB L�E . . , - ; . r. . . . - ... . - - - .,..- .- . ..-. . .-,iE�-. -. -.- .- � . . _ _ ' . _ ' . .: .' . - .. ' � - - . _ . _ . _ .' _ i i' .� PHYSICUUJOR�CORONER � � � �� ' ��" `�- '°I _- . - .- - - � . --: �,`ILLL�.`1-C._.HCUSER., . . . � ,� . ., . . . :: . . .t� : � ' �PLACE OF BURIAL OR REMOVAL �" � �1O4TG0:`1ER�' Ci:� ' .-'i:... :'. .f� FUN'cRAL HOME..... �. �� ` ' ' � I ;�_ ..L.1"_�.B95N1`t.•fEH. CIi�PEl �` . C'cRTIFICATE NUMBER � ' � �� . .�OVQ�O82 _ _ . OA VOLUME AND BAGE. . � ; _ � ".f '. . ._ _' _"' '' . . '' ..._.. .. -. -'„_ '..:_�_�:-- ' -� _...!�_I .. .. . .. . _ . . .. ' . . . - , . . . . . _ . _ _ . . " " _ I _ - _ . . . _ ' . _ _ . � . �. .. . . _ _ . . _ . . . .::: �. .. . . _ .. . . . _ . . "' ' ' ' . . t� - - . � .- _ _ .-�� "" '" "' ' ' " '.. _ _. _ ��aii �' � 011�-00190 _., _ . _ . ' � � �0-4�08 � ., -. :,:. : � � Y HEALTH..DEPARTMENT . :i ;-`�':-; �r - :One N. W: 7th_Streef_.; :`:-.; _ : : :;: : ':� .` •.:. _:; ,. :� -: �ana 4 7708-7 828' - -, ' '; ,. . -- _ _ ... :ATH�.REGISTRATION.��;;_�°_.-_�_ �-: - . :i . - - :..'. .� : :: ;' " i O THE RECORDS OF THE HEALTH DEPARTMENT �j . _. ' t , J _ i. i -..'' ' �� . JJAON'. Ja��C:-1..T�Y OS� . . . .,YEAR � _•_�,.1��? ' . ".."._. " _._ '-_ '_ _ "^ _._��'_:":__��'_ � ..2].2"�q. '.: .:: arri-d• sex - >+_ ce - _ .SS - -aace ._�dhite -,;-.. ,. ..,.. '- - -- -._ .._'._,.... � -, �DATE OF BIRTH , - .Jjjj,7��,0$� .,,1��103, -:-�-.,-. . _ . '� 'f�' �' , , . ' .t ' ' _ ' ' _ _ ' ' . ., .. - . -, . �� . . . EBR04:�SCL�?_� :�CCIDE`:T' - - - -- _ _ , �S.D�.- - ,-_ �- �.._:_ . AUTOPSY :.,.', _....,.._., . _ .. " �_'_ , - _ . -:..0 . . '. __ ,ERY .�, �.. . -' MANNER \1CI1C81 D,15?852 , a. _ �, � _ _.. . � � . � : . , . DATE.OF BUFIA� �. � C.aI��L\D C�T�;IV- -�'0111171992 .�' , DATEISSUE� �,- �1�?�_�9?..'..... - ' . NO7 VALID�UNLESS SIGNED 8� SEALED � � �� - , � . : .—� �. � ,� .. . _ ' " _ '� . ,X-._._ :�� , . . �'''✓�,2' ��L. , , r^vJ ,4....(LC . . _ " .. �....' _ M.D. - " � : " ' vMlDERBURGM COUNtt HE!¢L%fH pFFICER" : - � - -