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Death Certificate - Maier, Virgil R_10/25/2002VAPIDERBUF3GF! COUNTY HEALTH D�PARYAAEidY O 3 4 c°� � Room 127'Administration Building '- Civic CenterCanplex - One Nathwest Marfin Luther King Jr. Blvd. , , � Evansville, Indiana 47708-1828 � �CERTIFICATE OF DEATH. � • - THAT ACCORDING •TO THE RECORDS O,F THE HEALTH DEPARTMEN7 , .. . � �s �erti te8 : �� , , / ,. . :. „ , . .. . . , ;.,.. ` �� '': , '� VIRGIL R.„MAIER,' - ,NAME., .. .. , , . . .. , . ";; , DIEDIN VANDERBURGH COUNT,Y.:�NO��AON. ?�+E os ,�.:. , Y�R zooz 'i �' .� . TIMEOFDCATH . 03:00 A .M.I. MppITALSTATUS � �IED'. SEx 'MAI+E �.�.':IAG[ �h .. �RACE �ITE . ii� '.. .�.. :.. ., � �. � . . . . . . , .. . . .:... .' . .. ��.. .. . '.' . .. . . ' . � . . . �� socw�secuairv DATEOFBIRTH OHI25/1927 "PUICE OF DEATM ST. MARY � S MEDICAL CECITER . f' „ ., ��'� , �' aaunrwvcnuseoFOenTr+civeriwns ' �ERTROPHIA OBSTRUCTIVE'CARDIOMYOPATHY , , . , , ,. „ � , , , .. ; , , ;.� ... „ , , . :: . ..�:. , ;, ��' �,PHYSICV.NOAbORONER �'JUHN,.POLIN,�M:D. " "'� '� �' � � �' ' �� '� 'nuroasr�NO �' ' a�nce oF auaw� oiv ia[MOVn� ST PETER & PAUL, HAUBSTADT, IN MANNCR NATURAL DISEASE ��FUNERAL�HOME:,,� �� WADE F[.TIERAI HOME, HAUBSTADT�IN , �.�DATEOF,BURIAL OC)��.Z�ZOOZ ; . . -: , , .. „' CERTIFICATE NUMB[R ' �, �.. , . . . . . ' . . . � � � �,.ORVOLUMEANDPAGE� �.00OOZZS% " ' ' � ' ^ �� DATEISSUED ��OE��.%�ZOOZ � . i. . .� . . . . . � . . , .� � , . , ,. ,. . a . : ,� . r ; . .. :. .. . . . NOT VALID UNLESS SIGN[D 8 SEALED �*ry � i; '. , - , , � ., ., ' . � � i. �� RZ... , �.P�. a''�'�1�� ' M.D. .. .. � . .. .. .. ,. ,. . . VAN�ERBURGHCOUNTV EPL7HOFFICEH .'I I I, :.r.;..,,�.. ' , 1,� :. i� �l 3 ^ ��a yO : c -' �� .�,� ; . OCT 2 5 2002' I�/ �/1 , Y7� ..n.,.r,i��tJ i J�`'''''-�� , � �de��seN cou��rY „UDITOR i.: '�' . ' . '