Death Certificate - Kissel, Henry M_8/15/2006VANDERBURGH COUNTY HEALTH DEPARTMENT 14915
Evansville, Indiana
CERTIFICATE OF DEATH
��jis �ertif ies, THAT ACCOFDING TO THE RECORDS OF i HE HEALTH DE?AATMENT
w�NE tiINRY M. iiISSEL
DIEDIN VANDERBURGH COUNTY wa,�oN
i1MEOF0EATH OZ:OO P.M. y�qRfTALSTATUS �-RIED
socw� secuairv
PLFCE OF DEATH �' � � �1
�tiT.Y" 12
sex �'E ace 83
oA� oFew�+ �9%29;1894
YEAR 1y/$
ance WriITE
?RIMAAYCAUSEOFDEAiHGNENWAS �TRICI��LAR ARRK�'?'HI�tip—CORONARY
ARTERY DISEASE
DIABETES
PHYSICUWORCORONER H. PETITJEAN, M.D. nuTOasv NO
PLACE OF BUFIAL OR REMOVAL Sl . JAM.`�,S C4'•�P{ETERY MANNEF !1A'� VRAL DT_vEF?SG
FUNE.9ALHONE WADE ?UNERAi H01�, HA�BSTADT,IN on�oFeuaw� 07/15%1973
CEHi7FICATE NUMBER
ORVOLUMEANDPAGE 0000131C� DATEISSUED l�$�O$/ZOOE
NOT VAUD NLESS SIGNED 8 ED
� � ��
,AD.
VANDERBURGH GWNTV HEPLTH OFFiGER