Death Certificate - Hancock, Paul Gene_7/5/1995•��� �o������ �������� ���������������� ��.
�- ==-___---_ , � -�ti3 � . 17283 I
' . � � VANDERBURGH COUNTY HEALTH DEPARTMENT �
� Room 127 Administration Building - Civic Center Cartiplex - One NoRhwest Martin Luther King Jr. Blvd. .
Evansville, Indiana 47708-1828 I
• '� CERTIFICATE OF DEATH REGISTRATION •
�.��jis �ertif ies, THAT ACCORDING•TO THE RECORDS OF THE HEALTH DEPARTMENT I
I. . � ' -=F O
NAME '�
' . PALZ'GENE HAVCOCR _-`
• 'DIED IN VANDERBURGH COUNTY INDIANA ON ,�,Y'ZS � � � �� �Y�A 1990 - I
^T
���� '�TIME OF.DEATH 69:00 A.M. MARITAL STATUS �yp;g�IgD SIX ;1[�j,$ AGE C)� RACEjV�HITE �
I' -SOCIAL SECURITY ^� DATE OF B�RTH ll 103 / 1921 O
I' PLACE OF DEATH ST MARY`S MED. CENTER �_ '
IPRIMARY CAUSE OF DEATH GIVEN WAS STRORE-SLTB_4RACEI�i'OID BLEEDING �
• METAST9TIG CARCINOID .
! PHYSICIAN OR CORONER �
AUTOPSY •
IFREDERICF SIGDA. K.D. NO '
PLACE OF BUFIAL OR REMOVAL MANNER
• `fAU"fEE CE"fETERF� OWENSVILLE IN NATUR�IL DISEASE •
IFUNERAL HOME DATE OF BURIAL I
• HOLDER'S 319 5. *L4IV O�vBVSVILLE IN 47665 07127/1990 .
' CERTIFICATE NUMBEF � . I
� OR VOLUME AND PAGE _ DATE ISSUED � . •
' 00001478 06�30/1995 I
� NO7 VALID UNLESS SIGNED 8 SEALED �
� �. 4.'�' �-,��.I
• w.o. •
V�NDERBURGN GOUNTY MEALT FFlCEA �
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