Loading...
Death Certificate - Lemmons, Clifford T_2/11/1992' n I� � �i� I� �: I. � n i. ,. ,I " �i.�� �j I �. ii•. I' � . i� �� . il i�ll . �I 'i . ' ,. ' 'I . " :' :: - � :i '� �� II. " I� , � 11 .i�� �: ' h.' .; ' � il 'I ii I�. �i ,� I� ,. !� ��� i!' {J��' J �,7� '� : �i i �.. :; �.. ii ,� i. .; ii il , I .� �.��� ; �I �� �� .,, �; � ;� ,.� �� � � f � . , .. �,�.. ii i ;' " ' � !: VANDERBURGH�;COUNTY� HEALTH DEPART,MENT ;: � �, ; �� ' ' 'i " i �! j� '•� ,Room 127,Civic Center �One N.W. 7th Street :' �� �� ,i � ;� � � �. ,� .i; �I �� ' Ii �� ��'':�i Evanswlle,"Indianai,47708-1828 ;� ;i �: � �,. :�' ,, 'i � li `.i '' � i. .� :� ., : u � i:��: ,. � , i • . .� ,i ., � i �. �i i� ;i i .� , „ �I ' '° .CERTIFICATE';OF ;DE�ATH REGISTRATION,, � � " '� ,� � �� � � . .� �I � �iI I� � i �.I_- , ii �, ��� � - . � I � � I ;: � �� iI �, il I� �� i ' � i i I II I � • �I �hi8' �ertif ies� ��7HA7 ACCORDING T0 7HE RECOR�S 6FiTHE HEALTH DEPARTMENY ��; �� !� I�, i��.i .� �� � 1 i i � i i� I�I' ii i ii i'� � � II'�i �i ' i i� . i i li �� �i I i il �� I I J �i �I � �� .�, �� �I � i � i I i''I�' � �� ��' � II I I� � ` I I � I' � � II i 1� 1� �I h)1 II � li I' I � ii ' 1i i� � �� I II li . I�. t� I II I� �I '�I If I� I� � I :I � � �'.II ' II . II (I � It II � ii I � II'I � li '1 �' , li �l i i,1i i7u�i�}; � �� i,r�+�qioUS il �I !I- � �I II 1 i! I li ;� li . �� , �i I�, u i� �:� �, ,; ,i NAME �II if ,I� ..I� I II II ❑; I� . il � I� II � ,,II �� I. i �� II. j I� � II � ! � I� � II ��'i�'I� � I• ii � �i �{ 1' 1�. ���. ��I� �i �I I I,' I �' ;i �� .i li � I� i 11 � 1 j'.I' . � ''I il u i I' .. I1 il -, i� � i �' ii �� � ii �� �i �� �QIA`lII�1ILir,� �,��I i �� �I� �i �I �� �� I �� u ii1��2�'i' d�EO��VANDERBURGH!COUNTY ��o��AO� � � ��� ���1 i{�„ � ' I I�.�� � �� i �� �..�� � II,. , l.r.i �1 .., I� �i ii i.!` �'' II 1�,�I .II .I� .;I , I'- YEAR �� II li II �, I� ' i !1 �� �I � �1 ���SOi�A"f� .! ,;°�I i �� �fiiCn�i�rl�,:�� il i�ilal�c���i �4 �� 7h�i'�i i� ; I� Wli{� � 1'TIMEOFDEATH I� � i ��'� �� �MARITAL�SfATU� �I i i� ��i ` ��I Ii��S�X II '.II II''AbE� I� � iI �,I. RACE�i .,� .I � i ' I) '� il . I� � 1 � � ��' �I� � i �� li i i� u � y �� � li � �I t i I �� i i� �' . i li �, ".;. i I' � �' G�1�UR�+�[iA �'T.CSt.:�!IUSPr 1A::.n li .' ��' i� ij �� ' I� I'� I� I��I �I !I.!�..I �I . u�. ��.li �� �' - PIAQE OF DEATH� I� �I ��, 1' '1I'. i r i�° �� I � I "+ ' I i�I' i�i �i II' II � I� � iI II li II'I� �I I� i � �i � n i , � i 'i � i�.11 �� ��;�� ����� �� ��IIP'l��f(�C�D��AD�OM1N�11 �AOR�Tif '�A�NCU 1�9t1+i' � �i �j������ �I ���i� ���'� �`�i� i J , � PRIMARV CAUS� OF DEATH G VE� (jS .I� i j ��. I j I� � 4 �)' ' f �: I�I � ! �� �il II i� II`�-II ',I i, .,' � i I, i�� �� �� �i�� �� �i���•if � IASI�t:$�i �$llltf;�205,1� �� F�l;�lAl�, �'A_L;L(IR�.�I _�1�4IIM'�� �I �.II i �� I� � �� � i, il ; !� i! � � �� � �� °1� � S4g T�."�SIOPhANCIA��ICfRF�i + i, �� �� � �� � u i � i� ��'., �, i:., � ��I �� (i , �� �� i� �I �i �I i� � 1�..� h!I ii � II 11 i�� I� ��� L � �' �� �' {i �' u, � � i �I . II I_ I .i i � u � il. ,+ i. I; I� � t� � I. ,. i � t ��'II �� 11I' II i� ��11 �� I �) It ��� II ��I , �� , I� ii I �� II ii It il �, �� , � i II �. I ���.PiiYSICIANORCORONER�- I��Ci��`,�LQT,V��Ij]2�FI� �M}1� i�- I� I I'-�'II �I � I� l'. 'AUTOPSYj IiNnl.l� �� �I I I�� i�' II ' , �. 11 �� .,�i� � �� t��' �I I' �� �i �'li '{� ' �� � I� ' ll' �' li ' li' � i i�' �I li i�� il li '� � I�. '��. I I �� . i� . li . �� !I � �i, i� .�{ , I( . �i � �� . i. � �� � I� �' t i� � � - I� (i . � �I ,� I �I � I I� � �� i;P�ACEOF,BURIALORREMOVALI� ��.�4t���11IN��-lG�i.Lj f.�'�I �131vLVCf�,�N �' � MA�N�R�� I� ��,n',i�:jt1.71 �U�S03SC� i, i �' .II �I I� _ I." �� �.I,`I� I� 1.� . i. I � I I I � ii I� i1'� , I il i,� �I II u I� ii il �� i' i� i� II '. �1 .,';I ��' I� 'i ! � •�� � I. �, i � I• �� ��.�ti Ir�(• �� I,� �� �� I��� �I �(� ��i i �' i! � I� ' 1: � �� ��� I�' I� �) � i�. 1 �� �� � i'FUNERALNOMEI i S�UDGI'�Sl.L.3U�� L�ILUOUST [TT BRA�NG}I-I].N4�7b+8 �DATEOkBURIAL � i�ZI�`l�J�I�,I� I� i �1 �.I �� I: "i; i; � � i i".' II' �1 i' �t � II i I" I' 1 ��'ll �� � li'�' '.�j L r.�•• ��I �•t � r� L � �� � II � �I � I' '' i' � � . , •. i , I, I� „`...,� '(!7I i:�l`'` I i II ��I � ��� �I' ; i� I�' -I�'�,', �, �I ,; II i, �, ii �' I�" I� ,� ll .I I I„` � I�;; '., , i'ORVOLUME'ANDPAGEI I�'I�..IIT�0��01�7 �i����.��'��I� �� `i (� i.��,I�II,;II qA7EIS5UE0 i 1 �IUZ�iIi���Jl2.� il 1I (I li �'�.�i�l��l I i � �� ii..l' I, �� I� ..I� � �� i� i� �� �� II' �I' �� ��'. �.II� �i_ ' i� i I� II' � �� I�.II: �� �� ��x..�l. .�I II ` II'�' II I�I II II �1 II � II � I� I �� 1 I� ��II �'� � ��li�l� II �i-II �� I) .�I :�i �i 1� II'�� I� I'.I, II I �! �I �"�I �i'I I 1 I� I�' �I•• II� i�- If •�I ^I• �I 'II'I II � I: ��'� �I ii NOTVALID;UNLESBSi�NED!6SEALED �I! II ��I'i I• I y �� �I '.'I� t� ' �� � . ���:, �� ' . � .�1 .1 . i• I� . � �i �i �� .' �I I- li ii it I� �d�11 ��'� II I `'I� � li � I �� t';I ,� � �� �i ' �r?:� .� ��' II��I i�� � �' ';`i .� . i� II f ti'�' i'll i I �i i�' �� i• r ���" n I � i i� I i� li � �� � �i� �� I� i 1 t� � �I I{ i i� . q� � � ' '� i'�I i i' � � i �� ,i �I �� � � :� ! � .I /�' li I wo � � I . . i' ,. , ' ' �� I� �l ��' t li � �i � i� i , � �' • . r, � �I I �i II �� '� 1 II 'il I- 1{ II i I� I� .; II �I �' I V�NDERBUROH COU TV�r1EAliHOFFICEN . il . I. �� �� I I � I.� �I I� ii � il r, i � i �i �� I,.0 � �� � ii . µ �� .� Ij . . '� i .: �"; � il . .i. r-�� �! i, � �.. n ,I. ;,.�; i � ri � L' 1 .. .. . . �� �'� - - �= - ---- - • i , :i . � .. r1 �J .� !1 i� 1; �r If . . i' i; � il i. il' f i{'•' il'�, .. .. � , II .� �� � !I t:�li �. If . 11 . � i: �. ., � �. !i � i I� .�l'1! .� �� ,