Death Certificate - Ellerbrook, Robert E_11/1/2004VANDERBURGH COUNTY NEALTH DEPARTMENT
Evansville, Indiana
CERTIFICATE OF DEATH
��jis �ertif ies, THAT ACCORDING TO THE RECORDS OF TME HEALTH DEPAR7MENT
w�NE ROBERT E. ELLERBROOK
DIEDIN VANDERBURGH COUNTY WDIPNAON
TIMEOPDEATH 23:26 P.M. �RA�sraus �'�IED
socw� secuairv
auce o� oearH ST. MARY' S MEDICAL CETEP.
JULY 10
sex �'�'� rce 62
DATEOFBIR7H
07733
yEAR Z���i
W10E �I1L
PRIh'.AAY CAUSE OF DEATH GNEN WAS CORONER—ACUTE MYOCARDIAL INFARCT
SEVERE COROPiA_RY ARTERY i7A.RROWING
PHVSICWN OR CORONEF DON.ALD ERK, CORONER AUTO?SY PES
%ACE OF BURIAL OR REUOVAL O.AIC HILL CEMETERY h1ANNER NATURAL DISEASE
FU4EFiALHO�+e CORN—COLVIN FUNERAL HOM� onreoFauau� O%�2C�ZOO4
CERTIFICATE NUb1BER
OR VOIU�:E !e'.�D PAGE 00001563
DATE ISSUED �$�Zb�2��'�
NOT VALID�SS SIGNED 8 SEALED
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V.WDERBUfiG4 CWMY MF1IIH OFFIGER