Death Certificate - Kruzmanowski, Richard Joseph_4/29/1997. �.�,�.�.�.�.�.�.�.�.�.�.�.�.�.�.�.�.�:
i • � 20398 �
I VANDERBURGH COUNTY HEALTH DEPARTMENT I
• Room 127 Administration Building - Civic Center Complex - One Northwest Martin Luther King Jr. Blvd. .
IEvansville, Indiana 47708-1828 I
• CERTIFICATE OF DEATH REGISTRATION •
�hi8 �ertif ies, �
I THAT ACCORDING TO THE FECORDS OF THE HEALTH DEPARTMENT •
INAME RICiiARD JOSEPH � RRUZMANOk'SRI � - ' i
io�EO �N VANDERBURGH COUNTY INDIANA ON JANUARY 16 Y�,A 1994 !
iTIME OF DEATH 3• 10 p� MARITAL STATUS �Yried SEX ��-e qGE 5� RACE �ite !
f. SOCIAL SECURITY . onre oF eiarH SEPTEMBER_09 ,1936 '�
IPLACE OF DEATH �LBORV HOSPITAL ' '
• 'f ' PRIMARY CAUSE OF-0EATH GIVEN WAS Cancer- �MULTIPLE MYELOMA �
• •
IPHYSICIAN Oft CORONER JACR 0. WILLZAMS.• M.D. • AUTOPSY NO i
! PLACE�OF.BURIAL OR.REMOVAL ALEXANDER MEM. PARK CREMATORY MANNER Natural Disease i
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• » FUNERAL HOME"=��LEXANDER WEST. Z1OO W.IL.. CITY 4��ZY DATE OP BURIAI 01�17/1994 �
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� Y�GERTIFICATE NUMEER�" - �00000096 Ol/19/94
� � •�OR-VOLUME AND PAGE DATEISSUED i
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. 'VANOERBURGH COUNTY�MEAL FFICER
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