Death Certificate - Martin, Robert J_8/11/2008VANDERBU� COUNTY NEALTH DEPARTMENT 20146
Evansville, Indiana
CERTIFICATE OF DEATH
��jis �ertif ies, THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT
NAh1E �OBERT J. D4IRTIN
DIEDIN VANDERBURGH COUNTY INDIAtJAON
TIME OF DEA7H 12: �� P. D� • MARITAL STATUS h1%�RI ED
soanisecuain ��
PucE oF oEnnn+ ST. D1ARY' S M1tEDI C.AL CENTER
JLZY 23
SE% �-E AGE �3
DATE OF BIFTH 06/23/1935
PRIMFAY CAUSE OF DEATH GNEN YJAS CORO;JER-CARDIAC :ARRi�YTHh1IA
C-A A1dD C-2 CEFVIC.AL FRACTURES
FALL
PHYSICIAN OFi CORONER DQNALD ERK � CORONER
PL4CE OF BURIAL OR REMOVAL p�pN�pA�RY CEt�.'TERY
FU�ERALHONE LAMB=BASHAM 1�itQ�fORIAI, CHAPEL
CERTIFICATE NUNBER
OR VOIUAfE AND FAGE OOOO I'�S�
AUTOPSY f�ip
yEAA ���$
ru,cE wHITE
rn�,NNER pCCIDINTAL
DATEOFBURIAL O%�ZH�2OOH
DATEISSUED OS�OL�ZOOS
NOT VALID UNLESS SIGNED & S ED
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At.D.
V OERBURGH COUNTY HEALiH OFFICER
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