Death Certificate - Mathew, Harold Alvin_3/11/2009�.
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H COUNTY HEALTH DEPARTMENT 2 7 4 6 8
Evansville, Indiana
CERTIFICATE OF DEATH
�his �ertiFies, THAT ACCORDING TO THE RECORDS OF TH[ H[ALTh{ O[PARTMENT
NAME t1AROLU ALVIN MATFiEW
DIEDIN VAN�DERBURGH COUNTY INDIANAON
TIME OF DEA7H OI : OS Y. M. MARITAL STATUS MARR [ ED
SOCIAISECURITY
PLACEOPDEATFI DEFlCONESS i10SPITAL
JANUARY 23
SE% MALE AGe $4
DATEOFBIRTH ]O�I%�I9Z4
PRIMARV CAUSE OF DEATH GIVEN WAS UROSEPSI S
CLOSTRIDIA COLI1'IS
END STAGE ALZHEIMER'S
PHVSICIAN OR CORONER
cEir:s��Fa K. �3uk�f�-r, M. i�.
PLACE OF DURIAL OR REMOVAL �LYTHG CHAPEL CGMGTERY
FUNERALHOME
CERTIFICATE NUMBER
OR VOLUME AND PAGE
HOLDERS FUNERAL HOME OF GIASON C0.
nurorsv NO
VEAR 2009
RACE WI�� j �1��
MANNER NATURAL DI SEASE
DATE OF BURIAL 01 /26/2009
DATE ISSUED
00000149 O1/27/2009
NOT VAI.ID UNl.ESS SIGNED & SEALED
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VAND8R6UI1GM COUNTY H - F
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MAR 1 1 2009
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QIOBON,O UN� AUDITOR '' I`.
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