Death Certificate - Fuhs, Edward A_6/9/2009` J
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VANDERBURGH COUNTIf NEALTN DEPARTMENT 17613
Evansville, Indiana
CERTIFICATE OF DEATH
�his �ertif ie8, THAT ACCORDING TO THE RECORDS OF THE HEAITH DEPARTMENT
NAME gpWAKD A. I'UIjS
DIEDIN VANDERBURGH COUNTY INDIANAON MAY ?� VEAR iOO$
TIMEOFDEATH O�:SS P.M. MARITALSTATUS M({�Hj�jD SEX MAL@ AGE 8% RACE WIiITE
SOCIAL SECURITV � DATE OF BIRTH
PLACEOFDEATH I)%�A(.ONI;55 I-I�)tiI���Cfil.
PRIMARV CAUSE OF DEATH GIVEN WAS PULMONAKY F.MIiOLU�
�)�;F,�� V�.',�OUS ���flEi��US �.5
PHVSICIANORCOFONER I:I)Wf11�D MOOICI1,� M.I).
PLACE OF BURIAL OR REMOVAL ti'j' I:iI'.IZNAI�I)ti C:}.',MI: ��7,�ZY
FUNERALHOME SCOIXIIIILI, PUNBItAL HOME, P7'.BItANCH,]N
CERTIFICATE NUMBER
AUTOPSV NO
MANNER NA'I'UKN., DISI;ASL
DATE OF BURIAI. ���/��/�0��
OR VOLUME AND PAGE DATE ISSUE-D
0p00103£i Oti/06/2008
NOT VALID UNLES$ SIGNED 8 SEA D
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_ M.D.
VA ER�URGH COUNTV HEALTH OFFICGN
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