Death Certificate - Harvey, Earl F_10/6/2000�..
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� ' , � i {�. ' .' CERTIFICATH OF DEATH: ''� , j I ,
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� ' 624 BROADWAY STREET, VINCENNES INDIANA�47591: '� '
Thie Certifiee,;that in tkie recorde of the Knox�County Health Department: �
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; NAME OF DECEASED: EARL F,HARVEY '. ' DATE OF DEATH: December 6, 1998
' AGE: 66 SEX: 66 . MARITAL�STATUS: MARRIED-MILDRED CHURCH HARVEY
CAUSE OF DEATH: CARDI06ENIC SHOCK. CHRONIC ALIA�RAFT REJECTION. HEART �
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TR1�NS PLANT . �
PLACE OF DISPOSITION: I.O.O.F.. CEMETERY. HAZLETON, INDIANA
PLACE OF DEATH: GOOD SAMARITAN HOSPITAL VINCENNES, INDZANA
HOUR OF�DEATH: 9:04 AM � BURIAL DATE: December 9, 1998 �
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FUNERAL DIRECTOR-ADDRESS: COLVIN FUNERAL HOME: PRINCETON,�INDIANA
, PHYSICIAN/CORONER-ADDRESS: DR. RAFAEL LAO. VINCENNES, INDIANA
BOOK NO.: CH-30 PAQE NO.: 94 ISSUE DATE: December 14, 1998
SEAL: _�����—�� 4 ���
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