Death Certificate - Martin, Albert_2/22/1995� �
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21664 � ;
� VANDERBURGH COUNTY HEALTH DEPARTMENT
i Room 127 Administration Building - Civic Center Complex - One Northwest Martin Luthe� King Jr. Blvd. !�
I Evansville, Indiana 47708-7828 I'
� CERTIFICATE OF DEATH REGISTRATION I
���jis �ertiFies, iHAT ACCORDING T� �HE RECORDS OF THE HEALTH DEPAFTMENT �
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� NAME ALBERT P. PL�RTIV ��• I
� DIED IN VANDERBURGH COUNTY INDIANA ON J�NUP.kY 29 re.nR 1994 •
iTIME Of DEATH 2• 3� -�+�1 MARITAL STATUS '-�d"-�11c�Q SEX ^tale AGE 9= RACE �Y�11LE i
ISOCIAL $ECURITV •;; DATE OF BIFTH �UGUST 3� � 19�1 i
IPLACE OF DEATH F�ELBORV BAPTIST HOSPITaL I
I PRIMARY CAUSE OF DEATH�GIVEN�WAS He3IL Disea'se- MIOC.4FDIaL I\F�RCTION I
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• +' AUTOPSY i
I PHYSICIAN OR CORONEF j,�(y'jjE�CE JLIDr.� ?f.D.� �O
IPLACE OF BURIAL OR REMOVAL STS. PETER S[ PAUI- CE?SETERY MANNER �jgill231 Disease I
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PUNEriAL HOME WADE FLn;ER�L HO?SE. &1UBSTADT, IV 4i639 DATE OF BURIAL 01�3111994 i
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' � CERTIFICATE NUMBER �. O2I il I94
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QR VOLUME AND PAGE OATE ISSUED '
I- ' NOi VAl14U E55 SIGNED 8$EP.�ED _ �
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� VANDEPBUPGM COUNTY HEALTH ICEA • , I
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FEB 2 �� 1995
� UDITOR � �s