Death Certificate - Lewis, Daniel Patrick_5/16/2011VANDERBURGH COUNTY NEAL-TH DEPARTMENT 16312
� Evansville, Indiana
/ CERTIFICATE OF DEATH
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N^ti+E DANIEL PATRIQC LE,lVIS
DIEDIN VANDERBURGH COUNTYINDIANAON DECFI�BER 06
TIME OF DEATH O9: ZS- P. M. MARITAL STATUS DI VORCED SEX �v][{[,$ AGE 5]
SOCIAL SECURIN DATE OF BIRTH
PLACE OF DEATH ST. MARY' S MEDICAL
PRIMARV CAUSE OF DEATH GIVEN WAS CARDIO PULMONARY -ARREST
ADVANCED CORONARY-ARTERY DISEASE
GFNERAI,IZED ARTERIOSCLEROSIS
PHVSIqAN OR CORO
YEAR ZOlO
ruce WHITE
NER DAVID CURTIS, M.D. AUTOPSY NO
PLACE OF BURIAL OR REMOVAL ST. JOSEPH CEMETERY MANNER �TURAL DI SEASE
PUNERAI HOME �pLVIN FUNERAL HOME DATE OF BURIAL
12%10/2010
CERTIFICATE NUMBER
ORVOLUMEANDPAGE 00002339 DATEISSUED 1Z�21��2OLO
NOT VALID UNLESS SIGNED 8 SEALED
d(�-z3-��-��� -�G z. �� a-�a y .
FI�ED
MAY 16 2011
e.�.m�
GIBSON COUNTY AUDITOR
Y.D.
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