Death Certificate - May, Charles W_5/30/2002:
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VANDERBURGH COUNTY HEALTH DEPARTMENT 02546
Room 127 Administration Building - Civic Center Car�lex - One Ncrthwest Martin Luther King Jr. BNd.
_ Evansville, Indiana 47708-1828
CERTIFICATE OF DEATH
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w,ME CHARLES W. HAY
DIEDIN VANDERBURGH COUNTY W�,oN �Y ls .,�, zooz
TINE OF DEATH 06 : 07 A. M. �yiT,LL srnTUS �RI� SEX �'E AGE $� RACE �ITE
SOCIAL SECURITY DATE OF BIRTH 11/05/1921
auce oF oEaTH ST . MARY' S HOSPITAL
PRI.WIRY CAUSE OF DEAiH GNEN WAS RUPTURID ABDOMINAL AORTIC ANEURY�t . �
PHYSICIlW OR CORONER JOSEPH COYLE, M. D. � - .
PLACE OF BURIAL OR RENGV.IL "-, . STS. .PETER H� PAUL, FT BRANCH, IN
FUNERALHOME -STODGHILIi.�.FIINERAL HOMF, FT. fiRANCH,IN
CERTIFICATE NUMBER � - '
nuraPS' NO
ruwNER_ NATURAL DISEASS
onreoFSUawi OS/21/2002
OR VOLUNt AND PAGE • OOOOZO4�J. . DATE ISSUED OS�LH�LOOZ
' NOT VALID �U,'`�ESS SIGNED 8 SEALED
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V.WDERBURGHCOUNTVH HOFFICER _
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MQY 3 0 2002
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