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Death Certificate - Koch, Billie Dean_11/14/2000✓ 0 •�.—�—�e�0 �°��• • • • oOo�� •�'O� � � � � COUP:TY HEALT61 DEPARTF�AE�1T �r. E31vd. � ' VANDERBURGH . onc Northwest Mar�i� Lulhcr Ki�9 0 � Civic Center Comp�ex � � Ftoom 727Administrafion 8��d�n9 Evansviue, �ndiana 4��oe-REGISTR�T�OP� I � CERTIFICATE �F DEATH . . .. � 'IINI ACCOf101NG TO iF1E f1ECO�DS OF THE HEAL«I DEPARTMLN�f 1 ��ji$ �ertif ies, • � ,:ocn `�`' 1 • r,�.LLt.�, r,e��N YE�Fl 1� • NAME CpUNTY sovrri�irk oa 1 WDIANA O�! 4]j�i�CL • VANDERBURGH r,i �A�� ' � DIED �N S�X FL''MALE -, AGE � TIME OF DEAiH U�� :�� 1'•C�• MA(�IIAL STA�US iIE�RLCIL� �� O1�]952 � , , • , DATE OF OIRTH lbl � � soc�n� secu�+�TV � � • " PIPCE OF D[ATH WELI101'tN ❑0�['i'1'AL - y1'l?,RCRANIAL .TR�\U�IA 1 � ' pRIMARV C�USE OF DEAiM GIVEN WFS C�7RONLk' L' ' 1 � CLUVT� •FORCF. INJURIE� • MO'PUR �`rIIICI.I: 1CCIDf?,N'C 1 � � nuTOPSr piU ' COkONrR • . c��ns�cinN on conoNeri pg\Nl� CULC{CEL, nnnNNen ACCLT)L'.�'CAI. .• �� C6�11:CLP.1' , P051:Y V:CLL� � Ih • �_. PLACE Of 6Uf11Al 0�7 �EMOVAL �� \'�,�i.MON + f1 / G i� DATE OF E3U�71�L t � I L L I 1� � r� i � C ldEkl:Y 1'UtiETJ�i. 1{U?tE, PU� EYVILLF .1-V . FUNERAL HOML 1 � � ' DAIE�SSUED Lt117119��' ' cen��Ficn�e riunnueri - . pq VOLUME AND �'�CE ��Q�L3�+S VALIDUNLESSS�GNED'85E�lED^ � NOT /� ,, /��/J� y� .1 0 � �j •�y�� // • J� ��d (.� � G � "C /: /�.✓�L� ^i° '"'_ (G�'ti� ` i c� _:�_�7�- � � � 4 V�ND[RUUIIGII COU�lIV RLA�.�uOFF�CII� • .s•s.-•-.---j0�/� ��0��