Death Certificate - Easley, Berthal Eugene_4/12/2000VANDERBURGH COUNTY HEALTH DEPARTMENT 16498
Roan 127 Adminisbation Building - Civic Cenfe� Complex - One Northwest Martin Lufher King Jc Blvd.
Euansville, Indiana 47708-1828
CERTIFICATE OF DEATH REGISTRATION
��ji8 �ertif ies, Th1AT ACCOfiDING TO TH[ RECOfiD$ OF TH[ HEALTH DEPAIiTM[NT
NAM[ BERTHAL EUGENE EASLEY
o��o�N VANDERBURGH COUNTY INDIANAON rv,acH a1 YLAR z000
` TIML OF DBATIi lO: BZ A. M. MARRAL STATUS ��IED s�x �E nc[ 68 ru,ce �ITE
SOCIAL SLCURITV DATE OF OIf�7H
PLACH OF DflATH DEACONESS HOSPITAL
PRIMARV CAUSH OF D[ATH GNGN WA$ ANOXIC BRAIN INJURY
POST—OPERATIVE BLEEDING
PHVSICIAN OR COflONER CARY HANNI , M. D.
PLACE OF (3UF71AL OR RLMGVA� COLUMBIA WHITE CHURCH CEMETERY
FUN[RALHOM[ COLVIN FUNERAL HOME, PRINCETON,IN
I�' . CERTIFICATE NUM�ER
AUTOPSY NO
MANNER NATURAL DISEASE
DATE-OFBUfiIAL 03/24/2000
,. � ORVOLUMC-ANDPAGE 00000714 DATEISSU[D 04/11/2000
NOT VALID UNI.C-SS SIGNGD 8 SGAL[D
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