Death Certificate - Gwaltney, Harold C_6/13/2003�
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VANDERBURGH COUNTY HEALTH DEPARTMENT 21424
Roan 127 AdminsUatipn gullding - Civic Center Cmp/er - pne l�pK�n�st M�in Luther King Jr. BNd.
EvaruNlle, lndrana 47708•1828
CERTIFICATE OF DEATH
��ji� �erti¢ie8, THAT ACCORDING TO THE RECOROS OF THE HEALTH DEPARTMENT
��E HAROLD C. GWAf,T[1Ey
DIEDIN VANDERBURGH COUNTY INDIANAON M�Y 31
i1ME OF DEATH 12: 38 P. M. Mpggigp � E
MARIWL STATUS SE%
socw� secuairv
DATE OF BIRTH
PLACE OF DEATH D�`��SS HOSPITAL
PRI.UARY CAUSE OF DEAiH GNEN W'1S M�T�TATIC COLON CANCER
LIVER METp3TASES
PHYSICI:.N09CORONER DAVID CARLSON, M.D.
�\. :.
PIACE'OF BURIAL pR F`iUOVAL W��' Hj�. ��• BRANCH � IN
� .' -
;� euvean� Ho�.ve STODGHILL FUNERAL HOME, IT.BRANCH, IN
� GERTIFlCATENUM6ER � .
� OR VOLUME AND PA�E
YEAR z��3
nce 73 rucE WHITE
10/22/1929
AUTOPSY NO
MPNNER NATURAL DISEASE
DATE OF BURIAL 06/03/2003
- . - _ 0��0�'1�'$ DATEISSUED 06/05/2003
� - . - �
Q
NOT VALID UNLE55 SIGNED 6 SEALED
--�..� Q� ��r.��u,�*'L%
VqNOERBI:RGM GOUNiY HEALTry pFF1�ER - M.D.
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