Death Certificate - Gries, William J_11/2/1995�
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AUDITOR�
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!� dd�dD�RBURGH COUNTY HEALTN DEPARTAAENT �
Room 127 Administration Building - Civic Center Complex - One Northwest Martin Luther King Jr. Blvd. -- �
I= Evansville, Indiana 47708-1828 - � �
• CERTIFICATE OF DEATH REGISTRATION i
����ji8 �ertif ie8, THAT ACCORDING TO TME RECORDS OF THE HEALTM DEPARTMENT •
iINAME WiLLL�:'f J. GRIES : ' '
DIED IN VANDERBURGH COUNTY INDIANA ON sErT���x o2 Y�,R 199� !
. i � TIME OF DEATH O7 : 4J A. M. _ MARITAL STATUS '-y-'��IED SEX M�I'F' AGE 8$ RACE �ITE i
I. SOCIAL SECURITY __ ", DATE OF BIRTHt 01����19�� '
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IPLACE OF DEATN ST. MARY' S?fEDICAL CEVTHR � -- '
• PfiIMARY CAUSE OF OEATH GIVEN WAS HEART DISEASE-CONGESTIVE HEART FAILLRE '
I - aRTERIOSCL£ROTIC CARDIOVASCULAR DISEASE
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I PMYSICIAN OR CORONER DAVID HOW.4RD, M.D. - nuroasv NO �
IPLAGE OF BURIAI OF REMOVAL ST. Jtii�SES CE`SETERY � MAyNER NATURAL DISEASE f
IFUNERAI HOME ZIE?lER FUNERAL HOME ' oare oF auain�09�0�/1995 �
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CERTIFICATE NUMBER I
! OR VOIUME AND PAGE 000016i6 DATE ISSUED 09�0711995 i
' NO7 VALID UNLESS SIGNED 6 SEALED �
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VRNOEHBURGH COUNiY HEA Ti�•'OFFlCER
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