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Death Certificate - Moore, Kenneth_11/3/1997D I � � � � � i_____ ,_ � :-, -.-_ _ - � � `�'� =' ;. ',: ° 00700 - = VANDERBURGH COUNTY HEALTH DEPARTMENT ��"`- - Room.127 Administration Building -. Civic Center Complex - One Northwest Martin Luther King Jr. Blvd. ;:' L, `_— . _� . - _ '_ Evansville, Indiana 4 7708-1 928 CERTIFICATE OF DEATH REGISTRATION =1= ��ji� �ertif ies 7HAT ACCORDING TO THE RECORDS OF THE Hu1LiH DEPARTMENT � _ =:-:Ni�nnE.KENNETH =. MOORE � ' oi�ow VANDERBURGH COUNTY INDI.WAON ocTOSFR 20 ;_; i'_ _ . -.S':-.: -_.,=-..:- . _ ... �; ��— .TIME OF DEATH � O: LS P-M. p,�qplTAl S7ATU5 MARRZED sExMALE AcE 75 ;. I /^ i :: _.... . . ' ' . . '. . ' _ ' ��'SOCIALSECURITY� -_ DATEOFBIR7H ���13���`� - -� �"PIACEOFDEATH"ST.MARY'S MEDICAL CENTER � � _�_ PqIMARY, CAUSE OF DEnTH GIVEN wAS CANCER-LYMPNUiMA PHYSICIAN-OR COAONER MARK BR(XONING, M. D�. � - "�� PLACE OF BURIAL OR REMOVAL /.�NTGOMERY CEM. � OAKLAND CFTY ' Funean�HOMe. LAhB-BASHAM MEM.CNAPEL, OAKLAND CITY,iN �� � CERTIFICATE NUMBER AUTOPSYI�Q v�A 1997 RACE�..�iiITF WANNEa NATURAL �FSc'AS� DATE OF BURIALj Q�'�,?� j�%9] -� ORVOLUM'cANDPAGE OOOO��Z3 � DATcISSUED �p��7�i997 FACE O � � � � ��� NOV 0 � 1997 ��,..✓-�., {� , � m�TOR vji��. NOT VALID UNLESS SIGN'cD 8 SEALED /j� ' �,- � � ` � ./� ij+�,� �4, � j7t=.'s?.,-:..��/�.✓�ibQ � U M.�. . VANDERfiU:iGM COVN P lTH OiFICc