Death Certificate - Hughes, Charles H_9/11/2003VANDERBURGH COUNTY HEALTH DEPARTMENT 05714
Roan 127 AdminisUaG'on Building - Civic Certter Con�olex - One Natfnvest Martin Luther King Jr. Bhrcl.
Evansville, lndiana 47708-1828
CERTIFICATE OF DEATH
��jis �erti f iee, THAT AGCOnDING TO THE RECORDS OF THE HEALTH DEPARi MENT
w,NE CHARLES H. HIJGHES
DIEDIN VANDERBURGH COUNTY WDIqIJqON
i1NEOFDEATH OS:OO P.M. N,qq�TALSTAiUS ��IED
socw�secuain
PL4CE OF DEATH ST . MARY' S MEDICAL CENTER
PflIMARY CAUSE OF DEATH GNEN YL15 PNEUMONIA
FEBRUARY 08
SEX �'E AGE �1
DATEOFBIRTH 08/13/1928
v� 2000
RACE B��
PHYSICUW OR GORONER �]ONL�A EIIBANKS � M. D. AUTOPSY NO
PLALE OF BURIhL OR RENOVAL �1p �HILL, PRINCETON, IN N�INNER NATURAL DISEASE
=uueaa�HOns=_ COLVIN FUTIERAL HOME, PRINCETON,IN DATEOFBURIAL 02/11/2000
CERTIFICATE NUMBER
OR VOLUN,E AIJD PAGE �O003Z9 DATE ISSUED
07/30/2002
����-��.
NOT VALID UNLESS SIGNED 8 SEALeD
— �XOf"..a �ir /�(i� Qel�u,��
_;L _ M o.
VANDERBURGH CIXINTY TM OFFIGER
�
i 3
I
.. .,_ ___ . -. ..