Death Certificate - Kruse, Wilfred H_3/7/2004VANDERBURGH COUNTY HEALTH DEPARTMENT O9HO1
Evansville, Indiana � � � � �
CERTIFICATE OF DEAT
MAR 0 7 2004
��jis �ertif ie8, THAT ACCORDING TO THE RECORDS OF THE HEA DEPARTMENT
w�ME WILFRED H. KRUSE �ig/�TY AUDITOR
aeoiN VANDERBURGH COUNTY woiow,oN
T1ME OF DEATH 11: 05 A. M. �R� sraTUS �RI 'FD
SOCIAL SECURITY
auee oF oean+ ST. MARY' S HOSPITAL
MARCH 04
SEX �I'E �E HS
DATEOFBIF7TH 07�22�191$
PRIMARY CAUSE OF DEATH GNEN WAS �TIPLE EMBOLIC C��RAr. VASCULAR
ACCIDENT
PHVSICVWORCARONER �'r &Yl�'LES, M.D. nuroPSV NO
Y� 2004
�E WHITE
PIACE OF BURIAL OR REMOVAL WALNUT HILL, FT. BRANCH, IN MANNER NATURAL DISSAS6
fUNERALHOME STODC��ILL F`UNISRAL HOME� FT. SRANCH�IN DATEOFBURIAL 03/07/2004
CEHi1FICATE NUMBER �
ORVOLUMEANDPAGE 00000538 OA7EISSUED 03/12/2004
_„ . NpT VALID UNLESS SIGNED B.SEALED
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M D.
VANOERBURGM GOUNrV HEPLTH OFFIGER