Death Certificate - Gwaltney, Harold C_6/5/2003VdPiDERBURCaI COUNYY N�B,d��l �l�P�(�Rfi�i�Y 21424
Roam 127 Administratim Buildi� - Crvic Center Carplex - One Nathwest Martin Luther King Jr. Blvd.
Evar�svi/!e, !nd'rarta 47708-1828
� CERTIFICATE OF DEATH
"��ig �C�tl�g�� � iHA7 ACCORDING 70 THE RECOR�S OF THE HEALTH DEPARTMENT
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NAME
aEOiN VANDERBURGH COUNTY wowwori �+Y 31
� 12:38 P.M. NARRIED MALE 73
T1ME OF DEATH Mqpry1L $7q7US SEX AGE
10/22/1929
� SOCIAL SECURITY DATE OF BIRTH
DSACAIVSSS HOSPITAL
PLACE OF DEATH
PRIMApY CAUSE OF DEATH GNEN WAS �T�TATIC COIAN CANC&R
LIVSE2 METASTASffi
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PHVSICVW09CORONER DAVID CARLSON, M.D.
ftACE-dF BUPoAL OR Fi[MOVAL W� HILL, FT. BRANCH, IN
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MANNER �T� DIS&ASB
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