Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Death Certificate - Julian, Cletus_1/24/1992
':, „•:1 : 'i r :� .,=�: . i ,i;. ;� -:1 �•.-,; . ' - .•II :-1 .-1� . tl .-tt ..=G . , -rt! :-1i . :{ -��. ��1 :; It :. .I . ��f .,-1; .: tl :rl! , L'- = i ��P 1. � �� �� � �l'. �� � �� �i.��'h �1 1 i':� I� �I �� �� ��'�� �"i� � u � U�..�"l� �' '74" �i -1� �:i �t � 1�' `�i� �� :; �I . � . �' .. � � l) �-{y {` ii � u=u. �'.11: :1.. r p �{ ,� � . i l� : {i.il.'' �.{'.11-�� i(�i,l ' rl-��:I' ' 0 it_!I �� '1: I ;I '�_N 4, �1 �� ��;"•� '� ��.�6�� 3 6����;� , I, ,-.!', 11,, j,�.,,� VANDERBURGH ;COUNT�Y �NEALTHliDEPARTMENT,;- i! i lr-,-�; !! ,-Ih �,�i�,i,� �„ u'; ,� � d 1 II „Roo`m �127 Civic Center One N W�7tMStreet '•� ��G , i t� h(�� �� �}" r �� J r 11 l(I� � II ,'�� p ir '�"i (' 1�,'`'i� h n"ru { � r. �I p• _t,_ �ll II � 1�'�''I (� � ��'� �� y!I'� ��� 1i �' , t�.�;.1 � �� , ,� ,� � �� u �-i�_ , L ,, � ,._I! �i Evansville� Indiana 47708 �,828I �".� II �; �I , 1! }, U-,�_i1;�� ,f �� ��-i, ll � !l ;- . � �� ,t � = , �1 li - � !� -�I � � �. � � �� � � � CERTIFICA, �E+'OF� DEATH� REGISTRATION'�� �� l�.,'` �� ���• � < < ���� ,� �, , =�� � � � - �I , �t f, , � t�� il �'�� �� I �i q�� t��� �� .'t�:�� �i 1� {� � ti 11 i�ll�� 'f u{I �� �1 �� �I {� II U{i II i I! ��'il � �4 � f�'I� �� �j ��1 '�'ll� j� ���♦j7�1 .�.e.rtif ies; I T4HAi' � COi DI'I �TOjTH URE'�i'RDi� OFI' HE�HEA�� H lI PA�ITM II T �i �-�i ��'tl ,� �1 �' I�� II II' k ',� � � ;� '���N`AMElI ����:� ��ci��rus-� "Ji2ii�Hl� �� ��',1-?I �; �t 4l.I? II-II �; ;�:II i�,lf ,� II ��_!.I �� If �� !! ��.!i �,11 �, �1 i -41 �� ;� i1 �� �1 �i il_�� ll: , J� � i i� n'���� u f{ �� � I {-(,-i � f�r �{, � 1� il-�,�� i� �I �=tii ��i q:i� �! � t.i�, � � 1� ��. �� �� ��-�� 1, �� �� I�: , ,r , !I , ,1 , i� ' -II �� II -�s ,1 �r- �� 1� �{ !f u �I Ir �� � it �� !I �� �� �� - 4�� �o�EO�NVANDERBURGH COUNTY+� DIANAONII t-�IJ�nu�xY„o9i, �,�+ �� ��;;�R;(�f �f�r1991;,-- �' � �{� I��j •�'� �� 11 ' N� �-!� � il'� �1 Il �� I`"- I�I, I u"�� �i i�� 1�'� �� �� � 1� i� �.�� t{ �1 i� � i 1' .`I� ��1 r.. !� �� �i � � . �I I � 4 �� , 1,. �.. _ , �.� i� �i� � =' i�l I' �� l� „-i� , I 8 1� f�P`tl r._ " �''' � " �' � Maiiied�� ll,;� I{ !I-,Ma1e•G-I���! �� I i�'81 �� I� „ .I� White �� �,` TIME OF'DEATH � ��' t � 1� MARITAL STATUS� �I i, SE%� {� �7 �� AGE �� � �RACE fl u � n� I� ��_ .) _i .` - . .1. .� � � _ � i I � i �i � . �� , � , h t�� � � �� -�� ,;t .t� � , (I I � DATE OF BIRTH f� . �) 1 r�,�'�_5 �� ���-�';i� � ii y+ '-IIDE��1COfiE9S'�HOSPITALI II-il1-,�'i ��,(;I,!rl� i� !' �i;��il �! ��_�� �i i�-�i.ir�� ii �+ li i� 1� I� �`'{ �� �I �i `!- I 'i'' PLACE OF-0EATH -, 1I 1� -'il 1 I}""tl i „ '� :(1 , ' � 1 i {1 i'r "Il' �, '�I f 11_ _�I _ I I' 1 � i �I 1 � �1 —'� �` f� 1�'� II ('°1 .{� �� ��' '!' ' � I` ' '1� ., I � I� �ll I.� li II ��f (��I' (� 1 II �I ( fI .1 II II� f��� II r�1` �+ I' II 1� II T' ' I{" � I i� _:!'` u i� n- i. �t i Is. I' I pqeumonia� orj3rifluenza ��RICHT� LOIvBR LOBE�I ir �' l�.' �il �` if,l-�; � 1I � PRIMARY��CAUSE OF DEATH GIVEN�WAS t t ,-: � � ,� ,�.i� {� �I'� ;I ���;! ' �i ,i �j �i � ,� P\'EU`f0� I4I Irb �� 11;�'� L f1 ! II ; �i � � � ��� � ;� tl -1 ,I �, li-, I, 11-,- ! � t�- =li , �, � 1� , ,I �f il , �{ � !; , II I� +� �, � li li il -i1 11 �� i4 �� �I �� li �' II';� It � 1� ��-,I �� 11 ", li��� il �' ,� i� i ' � -!i , !� � ,":� ii �r„-�{-„-,� ,, cl , II „ i ,,',-��='� ��'� ��'�� !i II �!- Ii fl-,-Ii �I }I . -�i ,l �l �f �f , I II :I .1.�, ,',�-� PHVSICIAN OR CORONER'I. �. ROBERT.�M, ELRO] r I��II D 4�'I II`f�'�I �' �� f) 1�� �1'iI Ir t�UTOPSV�f +) i nO�I + II �1'II II,�f ii I, i� i'_. �i , ��.,, h , �f .;-+f ; la �ia., !,-„'I „+I1 i� ; ii„-1i ;-1� ti� -II 31�.=1h �I il �t �, !f „�11,;-1i , ►I ,-11- �' „ ii -11=,� �i I. : �-J� •��, PLACEOF,BURIAL�OR,REMOVAL �+'= MO�TGO':'IERY� CEMETERI II'j� �� II I � MANNER��' �,t��atural (Disease� �'' �,,�,� t-��'�''�+t�' �,� ��-t�U n'r II_� �� u �� r,- �t U ti i t, ,1 �4 ii fl I�,�, li: ��' II il_� :;i.�� ��'i �� Il l� I'�"� il �+' '- �� } � � � � �LAM3 B'45H.4M ME'1-IICH.APBL;•104RLArD CITY.i� �� I DATE�OFBURIAL�"� �` Ol/13/1991� �'' }. ��� i�FUR'EHl.L-HOME i I I � J � 11 '�I .1 �' ,� � _ h�_:t �� n -�'r ?'' ,�.� II -!t= 11 fl 'i- If �i �!_- II fl- =(i (' �i „ �i �` I� I '� ., ,� , ,� . r♦ �f ��' f 1�� 9 e 1' '1 1 � 1 4� 1'. �. �_ ; i� t-,. �i �� il- � �� li 'i ' ll '1 il- �I ll ii i � p � „; ' � ' �I 1�CERTIPCAyE NuMaea�' � � 00000066 � ' � ' '.: b Ol � lS f 91 "' � ' ��+� '� i � ' ��, �-.-u ,-,� ,. „ J--II II �� -!I f� il= It ,-�� 11 L_-�, , 1r�, i Ii _,� �, ;{- ,{ Oo VOLUME ANDPAGE � - !� :I;.�` .� �� �'�� `�.. I� �L . `7. ��' �' DATE ISSUED � 1 � � I � � "2�� i � p i 1� i� � � � u � i' �� �) �i +I �"il � i� ��'� �' �� I �� : �i , � � L �� 11 '; �I ��-, �r,'! �.11;� ;� , 'i ,, I! " li , i� � !'.:ri �� �+ 1! i �'I �� n ,� II ;; II � �i �I , I( I I �I: , „ '� � ;i I� �-,,� {,� - � I � - , „ �� �l' � ,I ' � n� i �� I{= �� I, 1 �.� il ��U �r� ��'��_ {�� �� i� ����;�, tl ��I ���i-� �� �(� � i{ 1�� ��� n'�1 �j -��NOT��� 11'_� NLESS SIGNED d SEACEDI' � i� � 1�-'�i 1� d�I 11,'� I i- ; , I� � ,I tR- I ,� �I (� 1� f� ,I 1' !! , f! °� � �� ��� .�_,� � ,� , � �� i�� ��� p i �� .�� �� � i i �i� � I ti —t !� I�' i I� ��� li� `� �I� � Q o t � ��� �� 11 t � �`, 1� 1� y t I � � u �' � � i� �) 11 ; �I (I i� �� �� A{ �i't d i� : '��'. �� �' . ��' � �1 .= ! . i � II .�'1' I l �I O ��i �.•fI �(I l�' I�1 1�,1 1 1 II "�I II i` II VNNOERBURGH COUNTV H H�OFFlCER II�. � � -il 11 , �. ; �� 1� +1 � '� 1 ' , �� ;� �� ;I ; !I' , !I !1 11 �,. il ,1�- i� ; r , ,t ,t ,+ ,, ,� �� ,.. . �--"_ .. ., :.�. _�'__.,. _,. .., . .,�_ s�� _i,_ ..... .,i. : �_ .i,_ _n_ t�:.., _ a, .�� i,. _.�_ _�� .�,. _.�_ ..t_ _��: `�1 11 .1 �1 .1 \I �i'll 1� 11 �. 11 .', ll il �1 1� �1 ii ��1 1k �1 II 11 �� 11 �. � 1� 11 l� �� 11 1� 11 11 11 .� 11./t 11 �t .1 �I 11 i'. lf 11 �� 11 �1 '1 .1 �1 �� 11