Death Certificate - King, Donald G_6/7/1993i �i '�►
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8764 �
'_' VANDERBURGH COUNTY HEALTH DEPARTMENT '
. Room 127 Administration Building - Civrc Center Complex - One Northwest Martin Luther King Jr. Blvd. ;
' ' Evansville, Indiana 4 7708-7 82 8 �
� CERTIFICATE OF DEATH REGISTRATION •
i ��IS �ertlf 1e8� '
THAT ACCOFOING TO THE RECOf±DS OF iNE HEALTX OEPARTMENT �
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' NAME DO�:�L.D G. I�Z`G I
iDIED IN VANDERBURGH COUNTY INDIANA ON K;xcs is Y�A 1°O3 •
� TIME OF DEATH 3.1�� ��i MARITAL SiATUS Ka=:'-°Q SEX :1ale AGE 6� RACE ���1iC2 I
� SOCIAL SECURITY .�, DATE OF BIPTH P�ERL!aRY 1� . 1�3.J I
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IPLACE OF DEATH IVELBOR� HOSPZT:�L I
' PAIMARY CAUSE OF DEATH GIVEN WAS COiOf1Et- �I�BDLRiL � SLBi±�CHNOID HE:'SOR- I
RHAGE DLt T_0 CERESRAL DZSP.tiP?ZO\ Dti�E TO .
iGL:':SHOT ii011`D TO RIGAT SZDE OF HE.aD I
• P4YSICIAN OR COPONEA �i�ST_� L. BOT_Ci�.L.• COKOiCEt( AUTOPSY Y25 I
' PLACE OF BUFIAL OR REMOVAL T, O. O. Y. CE�SETERY MANNER SLL1C1d2 •
IFUNERALHOME S'fODGHZLL FL1ER.1L HON_E. FT.BR�VCH, Z\. onreoFeuain� 03 /2 2 1 1993 I
• iI LERTIFICATE NUMBER 00000� i 4 � 03 � 29 / 93
� OF VOLUME AND PAGE DATE ISSUED •
' � �� NOT VALID UNESS SIGNED 8 SEAIED i
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Q � LLLC M.O. �
• IVANDEABUHGM COUNTY LTH OFFlCER J
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JUN 7 1993
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AUDITOR