Death Certificate - Hardin, Richard G_4/30/1997�
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" VLINDERBURGH COUfdYY HEALTH DEPAI2TMEPl7' 06814
Room 127 Administration Building - Civic Center Complex - One Northwest Martin Luther King Jr. Blvd.
Evansville, Indiana 4 7708-7 828
CERTIFICATE OF DEATH REGISTRATION
�hi8 �ertiFiee, THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT
NqME kICI1:1kD G, HAkDIN
DIEDIN VANDERBURGH COUNTY INDIANAON JUL�� o; -
TIMEOFDEATH D3:Sl P.M. MARITALSTATUS PIaRRIEU SEX ��aLE AGE 4G
SOCIALSECURITV ] DATEOFBIRTH lj/'�%/j.949
PLACEOFDEATH WLLkukn I3APTT.ST HOSYITAL
PRIMARY CAUSE OF DEATH GIVEN WAS C��CER-DTSSEPSINATED NO'v' S`IaLL CELL I.UNG
CARCINOPIA
PHYSICIANORCORONEfl JACf� G. {dILLIAPIJ, UK.
PL4CE OP BURIAL OR REMOVAL IOOF CE�iETERY. FRAP:CIJCO. Z�
FUNERALHOME F:�gDALL PUNEY.AL HqPtr. PF,INCETOtv. I.*:
CERTIFICATE NUMBER
Ofl VOLUME AND P
YEAR j�9(�
RACE I�`HITE
AUTOPSY �U
MANNER \ATUR4L DISEASE
DATE OF BURIAL �� � 09 / 1996
AGE DATEISSUED
00001328 . 0711�119�ib '
, NOT VALID UPlLESS SIGNED 8 SjEALED
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4,�j1�� =t'��'`r'
N.D.
VANDERBURGH COUNTV HE LTH O�