Death Certificate - Cochren, Charles Harvey_5/31/2000,� C'L-��- �
, �'%�� VANDERBURGH COUNTY HEALTH DEPARTMENT �2816
0,.: -
Room 127 Adminislra(ion Building - Civic Center Canplex - One NoRinvest Martin Luther King Jr. Blvd.
Evansville, Indiana 4770fJ-1828
CERTIFICATE OF DEATH REGISTRATION
�hi8 �erti f ie8, �FIAi ACCORDING TO THE RECOROS OF THH HE�LTH DEPARTMENT
NAME CHARLES HARVEY COCHREN•
DI[DIN VANDERBURGH COU,NTY INDIANAON
�, t:
TIME OF DEATH 12: 05 P. M. ��iTA� sTnrus Y�RIED
socw� secu�rrv
r�nc� or- oenn �
SELECT SPECIALTY HOSPITAL
PNEUMONIA
� PRIMARV CAUS[ OF D[A�H GIVEN WAS
PHVSICIANORCORON[fl DANIEL HENRY, M.D.
JANUARY 14
SEX �LE AGE 85
onre or oimr�
OS/08/1914
AUTOPSV NO
yEA� 2000
RACE �ITE
PIACEOFBURIALORREMOVAL MONTGOMERY, OAKLAND CITY,IN MANNEFa NATURAL DISEASE
fUNE�ALHOML LAMB—BASHAM MEMORIAL, OAKLAND CITY,IN DATEOFBURInL Ol/17/2000
CERTIFICATE NUMB[R �
ORVOLUME�NDPAGE OOOOOZ%% DATEISSUED 01�31�2000
NOT VALID UNLESS SIGNED 8 S[ALED
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