Death Certificate - Loveless, Hubert Ralph_1/27/1994_ -�-T= — �
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20867�
I� VANDERBURGH COUNTY HEALTH DEPARTMENT
Room 727 Administration Building - Civic Center Complex - One Northwest Martin Luther King Jr. Blvd. i
' Evansville, Indiana 47708-1828 '
• CERTIFICATE OF DEATH REGISTRATIOM •
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i THAT ACCOROING TO THE RECORDS OF THE HEALTH DEPARTMENT ' �
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iNnMe HLBERT RALPH LOVELESS - I
• DIED IN VANDERBURGH COUNTY INDIANA ON .rnr;u�xY is Y�A 1994 •
iTIME OF DEATH 5. 00 PM MARITAL STATUS yarried S� t'f3�.2 � pGE $3 RACE White I
ISOCIAL SECURITY . DATE OF BIRTH OCTOBER OZ � 1910 i
' PLACE OF DEATM DEACONESS HOSPITaL I
IPqIMAFY CAUSE OF �EATM GIVEN WAS H28iC Disease- ACUTE C.<�iDZ�C F!�II.t.RE I
!• AUTOPSY i
PHYSIpAN OR COFONER DE�7NIS BRIDDELL. ':f.D. . . . No '
IPLACE OF BURIAL OR REMOVAL PLEaSti�T RZDGE CEMETERY MANNER patural Disease �
IFUNERAL HOME COIL�1-COL`°ZV FL�ER-1L HOME � onre oF auain� 01/2? I 1994 i
ICEFTIFICAiENUMBER 000001/1 01�2��(3(� . '
� OR VOLUME AND PAGE DATE ISSUED •
I, ' NOT VALID UNE55 SIGNED 8 SEALED I
i: �2.��0�, �/'���l;��r� �
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RNDEABURGH COUNTY MEALT FlCEA I
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