Death Certificate - Conrad, Raymond August_8/27/2010VA11lDERBURGH COUNTY HEALTH DEPARTMENT 11624
Evansville, Indiana
CERTIFICATE OF DEATH
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NAME RnrMONn nucusr coNaa�
OIEDIN VANDERBURGH COUNTYINDIANAON J��,y �2 �E�R 2010
TIMEOFDEATH jO:3O P.M. MARITALSTATUS M/QtRIEU SEX M���E AGE fl F7ACE W�{ITE
SOCIALSECU(illV DATEOFBIRiH 04/17/1919
PI.ACEOFDEATH S'I'. MARY'S MGDICAL CGMI'ER �
PRIMARV CAUSE OF DEATH GIVEN WAS ACUTE RF.SPI RATOIZY ARRF.ST
ACUTE RGSPIRA'PORY FAILURf'
PHVSICIAN OR COFONER KELLY KLINGI'I P"PON, M. D.
PLACE OF BURIAL OR FEMOVAL FORSYI'FIE CEMECERY
FUNERAI FIOME �,ORN-COLV 1 N �UNERAL I�IOME
CERiIFICAiE NUM9ER
ORVOLUMEANUPAGE 00001537
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AUTOPSV NO
MANNER NA'fURAI, DISEASL'
DATEOFBUFlIAL O%�2Ci�iOIO
DAtE ISSUEU GH�Z3�ZOIO ,
NOT V�LID UNLESS SIGNED 8 SEALED
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