Death Certificate - Mason, James Jr_9/18/1998�
�,
- _ _. _ . ..:. � _ -- 10120
VANDERBURGH COUNTY HEALTH DEPARTMENT
Room 127 Administration Building - Civic Center Complex • One Northwest MaRin Luther King Jr. Blvd.
Evansville, Indiana 47708•7828 - :. - _ ..
CERTIFICATE OF DEATH . REGISTRATION _
��ji8 �ertif ies, THAT ACCOFiDING TO TME RECARDS OF THE HEALTH DEPARTMENT
Nnr�E JAMES J. MASON
MAY 05
DIEDIN VANDERBURGH COUNTY INDIANAON � , .
01:39 A.M. MARRIED sEx�LE AGE 75
TIME OF DFATN . MARITAL STATUS .
socin�secuai7v
DATEOFBIRTH �0/09/1922
aueeoFOennni Sr• �y�S MEDICAL CENTER.
PRIMARY CAUSE OF DEATF� GIVEN WAS CARDIOPULh10NARY DISEASE WZTH ACUTE � .
RESPIRATORY FAILURE
ATHEROSCLEROTIC HEART DISEASE
PHYSIpANORCORONER HOMER SKAGGS� M.D.
PLACE OF BURIAL OR REMOVAL DECKER CEMETERY. p�aTA� IN
FuNeriu HoMe COLVIN FUNERAL HOME, PRINCETON,IN
AUTOPSYN:�
veaa 1998
RACtlJHITE
rnnwNea NATURA(. DISEASE
DATE OF BURIAL05I0�� � 998
CERTIFICA7E NUMBER - - � DATE ISSUED OS� I S� � 99S
ORVOLUMEANDPAGE_Qp00�9(�3_ �� ' . _. '
. � � - . NOT VAL1D UNLESS SIGNED 8 SEALED . � �
_ - _ a .' i�'(�=�-b't�°�i�z'� .!�7 / N'b•
. . - -. . �� VANDEFBURGH CW TX OFFICER
__ _ ' _ " . .-. . �el:�