Death Certificate - Hallam, Cyril_3/29/1993� �
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8396 �
i� VANDERBURGH COUNTY HEALTH DEPARTMENT �
Room 127 Administration Building - Civic Center Complex - One Northwest MaRin Luther King Jr. Blvd. i
I- - Evansville, Indiana 47708-1828 '
• CERTIFICATE OF DEATH REGISTRATION •
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! THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT •
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� NAME CI�tIL ' FLaLLAi'i �
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! ��� DIED IN VANDERBURGH COUNTY INDIANA ON MARCH 13 YEAR 1`�.`.�3 �
! TIME OF DEATH S. ZO PM MARITAL $TATUS :larried SEX "Sale AGE /1 RACE�Iri11L0 i
ISOCIAL $ECURITY - DATE OP BIRTM DECE?SBER 22 . 1921 I
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IPLACE OF DEA7H DE�COVE55 HOS?IT�1L -- I
' PRIMARY CAUSE OF DEATM GIVEN WAS CERESR�L HEMORR�'L�.�iE I
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I PHYSICIAN OR CORONER � , AUTOPSY i
' `i4RI'i JO\E5. M.D. • \o
PIACE OF BURIAL OF REMOVAL GR�CELAND CEPIETERY , aLBIO'1.IL. MANNER yatural Disease I
' FUNERAL HOME �OL"vZV FL1EI2�1L HO`!E. PRZVCETOV.Iti 47670 DATE OF BUFIAL 03/16i 1993 I
ICEflTIFICATE NUMBER 00000�28 - 03122I93 �
� OR VOLUME AND PAGE DAiE ISSUED •
I.;_, NOT VALIO UNESS SIGNED 8 SEAIED !
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VANDFABURGN GOUNTY MEAL OFFlCEA
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MAR 2 5 1993
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AUDITOR
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