Death Certificate - Knowles, Theodore Francis_6/24/1996��� �����s�� �������� ���������������� ��•
i � 3803�
' VANDERBURGH COUNTY HEALTH DEPAR�ENT I
• Room 127 Administration Building - Civic Center Complex - One Northwest Martin Luther King Jr. Blvd. .
' Evansville, Indiana 47708-1828 I
� CERTIFICATE OF DEATH REGISTRATION i
���jis �ertif ies, THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT •
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iNAME THEODORE PRANCIS KNOWLES '
iDIED IN VANDERBURGH COUNTY INDIANA ON NOVEMBER 28 ��R i99z �
� TIME OF DEATH 11. 50 PM MARITAI STATUS Married SEX Male AGE a2 RACE �1C2 i
ISOCIAL SECURITV DATE OF BIRTM APRIL 13 ,1910
IPLACE OF OEATH WELBORN BAPTIST HOSPITAL . . '
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IPHIMARY CAUSE OF DEATH GIVEN WAS Sepsis- UROSEPSIS f
PMYSICIAN OR CORONER AUTOPSV i
I ROGER CROUSE, M'.D. No ,
PIACE OF BURUL OR PEMOVAL MANNER �' �
� • ANTIOCH CEMETERY � Natural Disease
I Fur+eRn� Honne HOLDERS FUNERAL HOME, OWENSVILLE,IN DATE OF BURIAL � 12/O1/1992 !
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ICERTIFIGATE NUMBER 00002379 12�04`�92� �; 1
� • OR VOLUME AND PAGE DAiE ISSUED , � ��j � �:_ i
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NOT VALID UNESS SIGNED�d�.SEALEDj , �
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Q VANDERBURGN COUNT�'HEAtJry'OFFlCER
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JUN 2 4 1996
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AUDITOR