Death Certificate - Hull, Howard S_1/7/1993�
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' VANDERBURGH COUNTY HEALTH DEPARTMENT I
. Aoom 127 Administration Burlding - Civic Center Complex - One NoRhwest Martin Luther King Jr. Blvd. .
' Evansville. Indiana 4 7708-1 828 �
• CERTIFICATE OF DEATH REGISTRATION •
���jis �ertif ies, THAT ACCOFDING TO THE RECOFDS OF THE MEALTH DEPARTMENT i
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' NAME aow,axD s . �.*tL �
• DIED IN VANDERBURGH COUNTY INOIANA ON DECE*SBER ll Y�R 1992 •
iTIME OF DEATH 6•Q� P'•K MARITAL STATUS .`larried 5� ?fale pGE �4 RACE White i
' SOCIAI SECURITY DATE OF BIRTH DECE?iSER QS , 1913 '
IPLACE OF DEATH DEaCO\ESS HOSPIT:IL I
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I PflIMARY CAUSE OF DEATH GIVEN WAS S2Q515- OVERLV�HEL�SIITG SEPSIS DUE TO I
SEVERE LEL�OCYTOPE\IA
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• PHYSICIAN OR CORONER ITZS��IV L. HEl`fBliRGER. ?S.D. nuroasv \Q �
IPL4CE OF BURIAL OR flEMOVAL :�jjCHER CE�IETERY. PRI`CEION�I�I. MANNER ya�ural Disease !
1 FUNEFAL HOME COLVZV FLlEER.1L HO`fE, PRI\CETON.IV 476i0 DATE OF BUFIAL 12/20I1992 '
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ICERTIFICATE NUMBER 00002430 12/29�92 �
� OF VOLUME AND PAGE DATE ISSUED •
INO7 VA�ID UNESS SIGNED 8 SEALED !
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�vANDFABURGM COUNTY HEAL' FiICER '
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