Death Certificate - Lindy, Clavin A_12/16/2003VANDERBURGIi COUNTY HEALTH DEPARTMENT 014829
Room 127 Administratron Building - Civic Center Complex - One Northwest Martin Luther King Jr. Blvd.
Evansville, Indiana 4 7 708-1828
CERTIFiCATE OF DEATH
��j i�� e� tif i e�, THAT ACCORDING TO THE RECOFDS OF THE HEALTH DEPARTMENT
Nn�+E CALVIN A. LINDY
DIEDINVANDERBURGH COUNTY INDIANAON
TiMEOFDEATH O4:�IO A.M. MqRITALSTATUS �RIED
SOCIALSECUFITV
PLACEOFDEATH DEACONESS HOSPITAL
SEPTEMBER OS
SEX �I+E AGE 76
DA7EOFBIFiTH 12/OS/1924
PRIMAFYCAUSEOFDEATHGIVENWAS P�MONARY II4BOLI, DEEP VEIN THROMBOSIS
PROGRESSIVE COLAN CANCER
PHYS'C�P.NCFCOPCNER DANZSL R. SHIREY, M.D. AUTOPSY NO
pl,?,C'cOFBUFIALORRE670VAL SHILAH CEMETERY, HAZLETON�IN
FuNeaa�HOMa COLVIN FUNERAL HOME, PRINCETON,IN
CERTIFICATE NUMBER
ORVOLUMEANDPAGE OOOOZ%iH
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�-.J JLy
DEC 16 2003
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GIBSO� 7��_i'l7�ti�G1T0 �
YEnR ZOO1
ancE WHITE
MANNER NATURAL DISEASE
DATEOFBURIAL 09�O��ZOO1
DATEISSUED 09/14/2001
NOT VALID U�N�LES)S SIGYED & SEALED
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VANDERBURGHCAV i HEALTHOFFICER .•
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