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Death Certificate - Fowler, Charles W_12/14/2005_ � � e"". �.;__ — t _ — 1 ?i L _ i C � _"�. ' _ _ _ _ ea �� s� _ � ' � _ y i. ' , -, , ': . =, ' �i . . . . . .. �� ' ' t � i' . � 1� . ' I' 1. . � -ry i jt ` 1 ' �; � + . '_ � ' ' " ' ' ' ` ` ` 07379 � : ` � EVANSVILLE VANDERBURGH�;;COUNTY'HEALTH DEPARTMENT . � � � ' Civic Center:Complex Room 727. ' ! `"- - �P. .�Evansville Indiana 47708 � -, ' - � ,� .[ � �: � . , . : ��-' . - i .': :� ii �-: ' - - y .- . . . . . . `. :'CERT.IFICATE;,OF D.EATH::=. _ . ., , ,, ��jis �erti:Fies, THAT ACCORDING TO THE RECORDS OF THE HEAITH DEPARTMENT. . - ��i,= Cf1:1RLES :[v; - FO[1T EF _ .. . [ ;.. : � = `. !- �'DIEDIN VANDERBURGH COUNTY�_�NO�ANA..oN;_ --'�=�-13•�� '1990 � - - . . , . , . ' YEAR � . � . TIMEOF.DEATH � -6•O9-FM.�MAqITA�STATUS �r13111e(�.'' ��.Pi312 � ' � • . (�4 - F;�11C2 ' . � � � - SEX AGE � . RACE - -"PLACE OF DEATH . .. �tiELBORi\' HOSPITAL . � ' .. , . . ' . .. . . - . �� PRIMARY CAUSE OF DEATH GIVEN WAS �CASTROI�NTESTIONAL',HE)IOP.FiHAGE - - . - - . . FSOPHOGEr1li H�IRIES_ , . : ' E .' - . '� � ' � _ _ '.AU70PSY��-.� I\O : . , ' � PHYSICIANORCOf?ONER - ��iiARSHALL CSZLLEY,.PI".D . _ . '� � ' ' . . , �� _ PLACE OF BURIAL OR flEMOVAI ��`� O.iE� HILL PI��L$OLEL�LI DATE OF BURIAL .� O� � 15 � 19�0 .. _ : .. _' . , .. . _ . . � ,- ., , . . , . -.. . __ � ' .. . . _ :.� �_. ,.. -- ..:' -_ :.._ :i ..�:._.. �._._...' . '� -. � . . - .' . • - _ - . FUNERAL HOME .': COLi!IiJ :FU1'EF.AL�- HO�IE;- INC; � PRIP7CET0\ .: � I17 � � � � � - � � � -- i CERTIFICATE�NUMBER� �,O0OOO9HQ � � - . _.. ' � �• ' -' ' '` OR VOIUME AND.PAGE ' -' - �'� .. '� � . . � . _ , �. ' . onreissueo . U6107/90 i C :. . � G r �� , - �•�NOT VAIID�UNLES$ SIGNED 8 SEALED _ � � _ _ ��.4:1�.��.��., MD , - V�NDERBVRGH�COUNiY EALTHOPFICER � . . . ._..." . _. ' '. . .... .... . . t `" : '. :: ..- _: �' .. . , _ ��