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Death Certificate - Hillenbrand, John G_10/5/2011� 1 1' 1 1'! f 1� �1' i' 1 r,_ !"�' 1 �"_""; = INDIANA STATE DEPARTMENT OF HEALTH '"';'�� CERTIFICATE OF DEATH .1,.. _''� a'.'' Local No OO �I 76F) EDR No 000000219011 State No 04' .: J::eF+': s lcS� �lame L'us1, U�J6e. Lut) ta. Maqen name (1( Ian�xl 2. Sea 3. ime pI peayi iJOHN G HILLENBRAND _ MAIE 07:00 PM _ Fceces� :'J. Y, ve�T sev'cS 4:.i N�q1al� t0a It JeaLh Ocarretl SomeMwa OTa Tlw� A Hos0.'� n '' ❑n±sviceia'afr ❑oecemr:nwx ❑NUSmnom�ia+g�xmcaraJab.y ❑ �'� [� U^-mr.�n � fl4w�: � E.e�+c+;ac,�DewM1 eniQMa:en Q Oeatm.�mal Q JYVisap�h) . �1S'( I.�rth 11. \q 5��..rCt ./�E $YRM d'q YtM:[�'(I ST AAAFY'S MEDICAL CENTER OF EVANSVILLE. INC � IOUISE �A�EST 122n ROAD SOUTH .. —'i =:'Y]:Y. H SCHGOL GRADUATE OR GED HISPANIC e..� �! r._�r.��a.o�. �� aoc Q Enm,omxn =_��ni Fro�,. 3uiz '�-1 Cr�. �,.i.. ❑ -•..: fil F> 269 T HAUBSTADT. IN 74223i � N.arreGO Mar�:eO. BW $xpa2le� ❑ P•9rc.: I ❑ N5�'0 ❑ Y¢rp fS+JnM ❑ JrHnn'n � n 1: �(itlC15:a�sslw3:ry I MANUFACTURING c:. ZqCOOe �31. Im.�c-,^�Y'.mi�s:— I q7639 � ❑�� u r» ?3a uo;ners ur ,az� r.s� R�EDFORD !AL�td J_Y�ADE . cY ELECTRONIC SIGNATURE IFD07017080 � Cause OI Ueath (SCe hrsfrvcumz Antl E�amples) ey�rc..na:x � __ - � f^:��� i�, •�-.sr O� E.�r+�s - D�sEaze�. N{.�r.=s.Or Canp4ra!ions- Rut Dvectly Causetl TTe Dx�:._ Da Nw Enier Termiul Eveaz In;xna'. Orau: - -.?-e;: F..spra;ay:.rresl. O Vem✓'�v`wr FrMillation YA[Inu� $1mrrc� Tne E�idogy. Do No�.V.^ve-nae. Erter ONy pne Cyrse On lo Oaa'.n .4 t!-.° � ......�cL.aal ; ^cs 1(::sss5ary � Fc:�c.,:=Cau;a:Fr.z�C.s�xstOrCOnuLOnRtSUtriclnDea:n� A MULT4SYSiEMORGlWFtJLl/REIRESPIRATORYFARURE "eDAYS ._� ��„aaac<,.,a.,,d o ' . -' : a!j� Le: Cantl:i�s, il �m�. L'eatli�g To The Ca.se L¢:etl On B. SUPRAVENTRICULM TACHYCARDIP. AND CONGESTIVE HEART FAILURF ^YIEEYS iG:-W!ccb�TL•eUew�rt.v�3Ca::selDrseasaOrlryvyT�:lnnla:etl :.""Pi•OaniQieO" , � ic= Evc-^:s i.v:aF.rg in C¢aNi Lasi C. MULTIP�E COMORBID CONDITIONS YEr1R5 : o: u c. a. a csvww o� D. ONERTICULITIS :N4F%:S � �hi6FUAF tiEP4TITiS CORONFRV MTERY DISEASE CMRONIC STEROIO USE. OSTEOARTNftITIS. [1 f+w:T�' �] �b Q LM:.qn�n - ..—:rt%.-.a-•an :..�;n ^""_^^c TOWMSEND Yas I...............-...... ...v............t,�..s..m.,�.....�a.. �Yey O:M :2. UGxn��. 3J_ MaMaIXDe�R' ---__ ❑n.�r.fr�..��... ❑�..u:..o.... ❑...>.s�.ivnrn��v.a.�.xw..aur �kavaO!+mo.�te ❑=a-ee.z ❑:emseii-.x:t�-ar� � ❑ �, es�:3�.w.>s�QO.r�'��..i5rb�la ❑� an�n.p++r:t+.:r�aa�u. II-IS�io]eI-ICnL�NSEeGett-nrca . BY ELECTRONIC SIGNATURE Ceeuhc (Lnerk � Yet [� Nc f ;rCOce � �s. w:..: IATE' Tr,e Soa=1 Sea:�ny e is :v_v+o reWested by W s sta:e e5ency in wczr t� ansue rzsponsi�S�y. Disclowre is vdunlary antl Ne�e �vill ce m penavy ix �efusai