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Death Certificate - Murray, Robert J_2/12/1991i ,� ;; ' ji- �r t' � :� � �� :, .•'1 . � ; .y ' . ;; 1� q . 1 .� 1; �1 � . � ii �' �f ` . . � � �i � ,' � . . ; � '- � � `� ' � � i��. ii � � E f! � 1 ��'�I � 1 �. � 168.7�� i , � , , . , :'�.. � � ` ; " ,�/�9�1&�a��49F�G�I;COQJFdT;Y.aBEALYH [7EPART.MENT+ i;:' � ,� �' n'�` ,,..� ; . .• , , ,: � �-:; �; Room,'• 127 Civic Center,:' One •N. W.'`7th; Street i t �� . � �� ,, ' �� " �t :.'� ' ; � ., ; ; ,: . , �i Evansville, 'Indiana 4Z708 ;1828 , �; , ,; i; .i - ;, , � .� ,,,::..u. .. :.: '. . 1 "'+ . : ..i 'i '' i� •� . - ii '�"'0��i�! II .il�!i��:i� t � � �:, ' ; CERTIF..ICATE OF; DEATH REGISTRATION'�;• ';,� ��.,,�� ; ; 1 t. ' i . .... �.� .. .. �� U � i� � �� li i. . � .�i. �'j . I, lI y . � �, � �. t � I b '� I''. I.J ��his��er�i�aes� , ,.. � : � � : • I -�THAT ACCORDING d0 THE RECORDS OF THE HEAITH DEPARTMENT� ,' �� • - � � : 1, .� .. � � � il �. { � y .� � � i ; -I � � 1 ; �i . � , i � .� ii � 11 , 1 � �� ' ii � � � � . �. �� . i � 1�. �ROBERT J - �- PIURRAYi :SR � i ii' � �� i p li i � I � 1 , � `I i� �� i� �' j � �i 71 . iI i �� . i. , �� NAME �� '�'� ; '�1 i . - � ! d � 1 � 1 f " .� � .1 - . i. �� i I � �� { ' � P �1 � u i� f q i _,�. � �• .;•� �� . li : � . '�• � '! ( I � 'ii i �, �� : � ° � :,'I� , ��'.. �! ; i�.. . �. .- .. i � �;�..'1; '�JANUARY 29 �� . o. 4 �i .'i��n��!'�,:•° � 1991'i�"I�� f I . ' ' : � 'o�EO�NVANDERBURGH �COUNTY'�INDIANAON ��_;�;f �i .:�, ��'� :.;�'� �� •� ��,.?"��'�;�"�;;.�� , : .. � ; 4 20 .PM � .� � � ' . i, t ( � . ii Mairied� ` � Male i: ! � .i ,�'71 � � ; n White� �� .TIME OF DEA7H - � � •: I i u �j " ,1 " '.' �� -' " � JANUARY� 07,.!� 1920 i t ; I�.ii'; i� ,� :. �. . ' S CURINi' .t� �. ,� � . i t � � I , i ;. . �I , .`'L e,.� ;: .. � r � i' I � - •� SOCIAL E �. ; , I! �i OATE 10F BIRTH, �! � • n'', �; ;� � • �I . � . . 1 . � . �� ' i �;'7l' 'I! ' I Il i'':i �� , � � ,. . . 1 . .��. f i �. . �� . '�; t• '.'i .: � WELBORN HOSPITAL il � ii i i� :� � �� E: i: ;I n .li . d��ii tl :'��.ii'li � i� � r � : �: � 1 5 � i �� . ': . i: �i ' r 1 { ' �� } . .I _ . . PLACE OF DEATH � ' �7 71 .' :: : � . i� � „ I: i• � �. �� ry �. '�� . �I � . :� �.Hea_t. Diseaser. ,PULMOUARY EMBOLISM � ' .' � � � , �, � � � �� I �� 1! d . � ` . .� � . r �, •t .� ' �, , v �' �. �i ` S� � �L .. ��' . i � � , '-i. ' ❑ � . u � ,� .��:1 �� I� � � � � � PRIUARY CAUSE�OF DEATH GIVEN WAS - � .;j '! � " , � �.'� � '� �I ,� �� ;` if •' � � 1 � � � ,� �t Y � . { �'!: : il I '. �i � :i �� ! � 1 ' �� ! � . :i i �' . i'i tl ' �, �' �! � f '1�' • ti'.i �.� '� �•�'�� p . � iF n 1• '� ' t . •i �1 'I'[i�.l. • '' : �'i. 7 � .: ' . . � .i Y �; 1 .. H .� 1 .� . �! ., q i, � !1 .� � : �''�, �; :i - i : , 1 �1 �f � � 1� � ' _� I �� i ' � : DAVZD CHRZSTESON,' Pf D !' , ? ' �t � No 4 '' � ' � +' � �PHYSICIANORCORONER°:,' �� ' . •� � :; � � � �� AUTOPSK�;' � r 't ' � �'' ' �i��' � ��. . .. ,, . .� +, i . J.' . i • �, n �i �� '� �� I' � �`' � : •� �� AThINSON CHAPEL CEKETERY � ,�' ' � �. �' ::'�� Natural� Disease.�� i �' • i PLACE OF BURIAL OR REMOVAL P ., � '� ; 1 , . � �., . .� MANNER'� . . i ' . :: � �� - � i�!� ;; -: i , � � . . � , , � � M '. , � '� �'' �iCOLVIN FUNERAL HOPiE; PRINCETON,IN 47670 •' i �� 02�01�1991 ,� � � PUNERAL HOME . , :• ; .. . ' r . .i �i . i ., � � �; .. . j . � ' . , i �� DATE OF BURIAL i� � i �i :.. •i � . . . , � . . ,. . ; . n �� , ., ,. t t� , 1. t �� i. 1� 11 'i 11 � �� . , . ,. ' .. . . • 00000197' , � ` � . ' , , � j 02/06./91 ,� � �� ii . CER7IFICATE NUMBER �� ' �� . I � ,� � .� �. � ' '� � � ' -: �, � il .I , � -li � 'I' t � OR VOLUME AND PAGE � � �I . � ,� � � �„ �� '• DATE,ISSUED, i ,� �- � � �, N . ' � il ;' � '. � i� � 1 ;i ;' ,:(. 1! ' � . 1; � .i .. �l .{ .� � i. .. I � 1� . � � .' tl '. • ' ''' ' �! � ,� ��..' (j ''. , , �' � . � � �� . � � �� NO7 VALID UNLESS SIGNED 8 SEALED - � � . � •� ° �� ' . . � � . ��. . .. �� , - ��.L ��n. L:.'d . .i � ' . ' � � � 1. .� � � .i - � � I . .. � .' � i� � . ��"{i , ii -� � �� . . � . •� ' - -. : � h �%�� /q/ ♦' �' i�ny�n.- i.'/��y� . � ;. '• �- � . : � � � K /+"'�� O�'�'�+ A1.0.�. � , �, . . � ! . : �� i � s �- • Y9 � ' � ' i� � 1 �! � � � � ' � VANOEFBURGH CAUNTY HEAL FlCER � 1 � � �' i. 1 _�� ' �. . . �'. � . � • ' '� u .1 �f ' r� �_.�t �! , � i� . l� t� ' �� ;i '� � .i i� i� .i. / i� � n . . . .. . . . ' . .. . . �__._.1 �� .t� ' .' ��C�� i . .J • . . '� � �� D O�Kc�c�s .. . 1: . . .. .li. ..11 a.... .. ..�.. .�. � \ � i.