Death Certificate - Emmert, Edwin B_10/5/2009e
VANDERBURGH COUNTY HEALTH DEPARTMENT 3 7 2 51
Evansville, Indiana
CERTIFICATE OF DEATH
��jis �ertif ies, THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT
N^ME EDWIN B. FM�RT
DIEDIN VANDERBURGH COUNTY INDIANAON SEPTEMBER 08
TIMEOFDEAiH OJ:'}O A.M. �RRALSTATUS �gjgD SEX jv�,qj,E AGE ]$
SOCIALSECURIN DATEOFBIRiH
PLACEOFDEATH V1VA CHARLIER HOSPICE CF.NI'ER
PRIMARY CAUSE OF DE4TH GNEN WAS ACUTE MYELOGENOUS LEUE�MIA
PHVSICIANORCAFiONEF pATRICti FLAMION M.D.
PLACE OF BURIAL OR RENAVAL STS . PETEF & PAUL CEME1'ERY
FUNERAL HOME µ�p�E FUNERAI. HOME
CERTIFICATE NUMBER
YEAR 2��9
RACE 1�Ijj'j'$
AUTOPSV NO
ru`""ER NATURAL DISEASE
DATEOFBURIAL 09/1�1/2009
OR VOLUME AND PAGE DATE ISSUED 09/ 14/2009
00001677
NOT �LESS SIGNE 8 S LED
� � � M.D.
VANDEPBURGH GIXINiY HEALTH OFFICER