Loading...
Death Certificate - Kiesel, Ivan P_5/4/1993a � 3 o ba ss-��� �,.:o:r 3 -,:o.o �:�:5 �' a .. . t�� rli.�'I..: ....... ;, . ;,..„ .::.... : .:.: :::.:. , ' . �I .. �� '1 '. � I ' i � � - .� . ' :i I�'�� - � - ':'� i �i� .i d -�i ; � ;.�, A��;oAo�,.�t � ;� :; :� .,:.� , :. , . 38415 - _r( i 1 � i� �� u � : i� -i i".t Il � i: II � _'. ��`�� i�1/ANDERBURGH .COUNTY, HEALTH.'.DEPARTME , ;� ' ' � � �PN 'l + � �� .-���;: �� �� Rooro 127 Civrc Center ,One N,W 7th Sbeet � ?i �,e��+� , � . ' �i �i I� �� �� ; � �- � , . ,� ij , ;i_ �� -�� �; , ' � i �Evansyille lndiana�477,08 1828 �� ' ; � " ' • • ���' '. J' I .( .. il 1 i � �:'1 .i - . i. . u i n. n.� i i.: li' II -. � II �'�j�n� 11 �''' . I� i(' �0��'":1':j ,; �� � � , �� �,CERTIFICATE OF DE�ATH REG'ISTRATION, q� y � � ".�ii ( �y,I t !I !' � � , � :. i� � :, � ' ,i i i , �- I � �,l+ �9 i ' � _ i�(�r � , I. � � � � � �� � i �'"� li i - � u-tl �� i� F' u ,� � ��I' �fi/��s�,�ertif ies! 7HAT ACCORDING TO THE RECORDS OF THE.HE4LTN DEPARTMENT �� �� i I� �f� � i � -� � � �� i . � i i i � .� � i �t '1� I � '�' i � i� I ;I �� �1 �I '. . ' .� . � i li � 'I �I '' �t �1 �� �. I 'i� I 1I u_�� � � '� ' t ; i:'il �I ' � 0 � � . I � . . �lNa�+e� , '' �VAN P; ' :FSESEL i I.�� , ,� 11 �� � � � ;. '�'I 11 I � �� (u'.'.. �, �i . �'� �.. i :'. - . . : � ; . t . 1 �i � � i , ��ro��IN�UANDERBURGH..COUNTY;�NO�,�AaN, .; ��' ' " � � . JULY 03 , T � irEna � � �1992 'll.�i h � t li .'�-�i ii � �V � i. ! 1 . _ ,- .�:r . ': :. ' . 1 i 1 I� d �i - _ "ii I i" ii � . '�. - '.! . , , � � • i . , f .--�f i ' _ .��.TIMEOFDEATH i 15'�L� . _ � .�1 �. - r � �" � �i i i� �I -I I�'I� 1' 11 I !� �I i� �' ! 1 ,� � � - Il :� . . i' .. . � . � � ii . . �I I �t '� I� 1. i� ' � _ .,(auce OF oEarH WELBORN.. BAPTIST .HOSPITAL � , � , ,� � '- ,, ,, . �� � , , . , •; .; ` ' ! ' _:I� �I ii�-�. � . ...: . �- �i , � : � , ,; � _ �i. • �� ' _ 't�?RIMMY CAUSE OF DE4TH GIVEN WAS.i ��NTILI;ATORY FAILURC � � � � � �� . � _ "�. �� i -I . � ' . :r � ' tl � � i �, ��� � � � . � , � � ' i � _ .' � ' , '�''I� �I ,' �� f� i� I. 1 ', ' � t�� ��1 i 1� � I i .I ��' d � �- � ,. - � � �'. � .-: . .' • 'o' - �t .- . . ���� ' :� - � . =�i R�YSICIAN.OR CORONEF - NELL W WELBORN, 'JR..t M� D� nuroasr ;�o, -. r� ,' �� :II'I i l�.il-�.11- i� �: i . . �:., .i � i .;�PUCEOF�BURIAL•,ORREMOVAL �;STS PETER & PAUI, iCEi1ETER7 MP.NNER. .� ..NBtIYi2'l;��isease� ;; � � • ;� ii � � !i . � .� �; .: � ; . •i ., �• :. '. .. ': i �� - .. - � i: : 'i ,i iE'( t il - -'� . -IIEUNERALHOME ' - _'WADE� FUNFRAL��HOriE�,�HAUBSTADT IN�.4�J6.i9. ' -DATEOF�BURIAL' !� �,. �07(11/,1992 � ' •:� �i � _ .�-;: :�; . � ��1 �' � , , � : � � '� , ..( � ,• ., ; d ;�` , , ,. ��' . ., � , , -�� , � .� E�RTIFlCATE�NUMBEfl ":; �OOOOZG.3S ' � '��� ' ,.:' ' O%I16I9�.�� i��' � '' OP�VOLUME AND PAGE ' ' ' •, � -� �� ' DATE ISSUEO : � � � ' .: ' ��a ;� �' , u:: •. � � i i I! �!I-,: i? i� i li- i' �� .' i; , :.. . � ;i�!ETERANMIUTqflY OH :'. ,� � ��' �; :: :. . �: :; ,i . .; .� .; �I-�i ; �iri� i, ' � :�.I�'i�'II'���II"p.'L�il_� .. . SP��SEO�T „ACtD-liN6E5S�,SIGNED�B$EAIED}�'� ii ��.II �' " '��_ �. i� :�'. .'I :i '' i', ..,- �' 'I' _.�t;i' :;':`':1". �' '�' " �;'7 ;I �II-- � 1� i� � � �.� � . .�-u .i � �% ✓. � � ' "� ' ��"� f � if � ���,�'�i." � -- � , L(� � � 1� ,� ! � 1 .. 'II� II I4 ���r. (i -' • I J MD.1 �� ' VANDEEiBUFGH COUNTY TH OFFICEP � �r- I� i i•��� 1� 1. i- � u i_'r .: u 1, '��' il .. '� ' �: „ 1� , � � . . � .. � _ � . .. � . � . �� . 'Y . 1� .. ��-;� ❑ � II - f: � "ii �� . ....�..��' ..� ..,'.-.-�....�.. ., ... . . . . . .. � � ... .. �. . ... .i�. - - �