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Death Certificate - Phelps, Herbert W_7/29/2003� flT:i—i!—ii'—��.�l:2.-:� .� �•1 � 1 �t�=��=il�—i� ,. =i7=�1��: —!__��_- t.— —. i -1f—ii—t. � - i— �—�r—t:—u—Ilr - i—,_ i�-h" '_,�_ _.1i. i� �.— Lii 1:_�._..:__:;_...—: _��_;�_i:. _� �I:-! •�—I�—'•—� � ; . ;� ,� ,-r�=�;=.;.=�� � :, -,:- � -„- �;,-:, -;� , .-�: -�� ,-. - �-�{-,r� 3 4 4 6 =' i�-i� . � �i—ii—n-�i � i1—r_ti—Il— � fl—::—�i— �. � —}! � '._I �=1'—� 11—I_ .1i ;_„ ,. ,;=EVANSVILLE'VANDERBUR�GH ;COUNTY HEALTH DEPARTMENT.; �� , ��. ' � .-,-� -��=1!=:•_�V _ti—tl—'1 t' i'-�i-il= a i.: 1 �i -fi :�—� —I .� 1� jl {:__'�' .c ��—�� � —Civic Center_Complex Room.127 j—;,—� —�� ��_' - �� '_',1 '._'`i ='_! '='E,--h ,. -- — � - � —„--� - ii �=�i � t, � „ � �.—:� � 11=� ,�- -:= -!— �—��-Evansville,=lndiana:'47708-!!—�;_;'_;;_ — =;,--i�=if=ii— =i''-1 ` 7 � i -1 (=i � ;—:�-„ : , �. , . . ..!•_ . . � , .. '� -i 't_ " ^^,1.. 1 — . . _' _' 1 . __ ' "_' _ _' ., ; J . li .' j.. �_ ��-,�� � � _ � �-CERTIFICATE�OF`DEATH , = �, !'�,,; - � , , - , _ _ . � ,,i� , _, : -. � _ ._ - , - :� ��jis �erti_f ies,_ -- ' _ , . , _ ; ��� i THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT {_ = _ _" ' _{�_; ' �' _:i— ' " ".+ _ . �_� . .� .._• ,�� _ ��' .' ' . '_ _ • ' _ _ . ;I- . N�Me -HERBERT : W ; PHELPS ,. .. ` ;. � , , -., _ - :. - _._. - - - -- - - -' - - - - - - - - -- _- - � --� - --c.--� �- - --� .__ �.- ._` - -- - _ --::-�.; . -.. ,. .. .. . ,� . .. �� � . , .,.� .. , -.. �- - -==-:"-'- oieoiN-VANDERBURGFi:COUNTY.-iNOinNn:oN:;--'=- FESRUARY;?s:__-".:'-yEAR`_,i99o__. ':�; —i_ — _ - '-.i' _ - - . r- _- - _ - � ii�=�i- -- _ `- ���—�•TIME�OF_DEATH 7__G. ZS�'P1I__ MARITALSTATU$ •%iBTilEd� ' ::.SEX - Male �__ �qGE _: �3 _.--_'_ qpCELL�H�ite.'-= . . _ _ :'f•'_ '_ . '_. .. ._. ._ .._. .._ ..__ _' _ __ _ _ " ' " _ ' _ ' '_ _v� - ��-';:—�. --�. .; -,. .. �. „ _ '_ __ '_ __ _ -+� - -.�VUCE OF DEATH =-, ST � MARY'.�S�-.MEDICAL'�CENTER :�- -- --- - - - -- - -- . - = =_-�:-;'=`-.1 � _ -i--,- .. ". ,. .. ' . .. ,. -- - _ -- -- -- - - - - - - - - - -- - - '"-'_ - - - - - _ - . -.'-.� - - - -- - - - -- - -- - - -- i: -' '- , PRIMARY CAUSE �OP DEATH GIVEN WAS � SEpS1S- SEPSIS i - BOWEL'-�INFARCTION � � LOW - . - _ ,�-� +-' , =_ "!" •"_1:" .. . . . " __ J' ''•__ '"' l ' ' _ _ ' _ ._ •. � ' __ — _ .. � �. -;:- - - � CARDIAC �OUTPUT, tiY'OCARDIAL INFARCTION - . ,. - - = - -- -- _ . .. .. -- . -- - ,_ ,._ - - - - - -,.- -= _ - - - - - - __ -' .. =!i . - - _ - - " No ii - _ — � ' . � _ '- - � •. � � ' -AUTOPSY — � _ -�� ,� .• PMYSICIAN OR CORONER :CtiRI L."HANN; �.M:D - - --:t � '=� - - -.. . -- - - - - - = - - -- - - _ _ • -- :: - - - -- _ -- ,. - - - - - --., - - � : . , . .. ;� h- �' � PUCE OF BURIAL OP REMOVAL � RURAI, OAPLAND CITI � INDIANA- . onre oF euaini. 03�/03�I1990 �-; � -; � � - -- - - - --' - - - - .: ., � - - - - - - -- - -- �- -- -- - - -�--- - - - - - - - - -- - - - t - - -- - - - -- -. -- - - - - -- - - -, � .. .� . . .. .. .� .. .. .r ,. :: .. . - - - - •--��-- ��-- - -- -- -- --�. -- --- -' -'- -- -.�- : : � ::_ - -- - -- ,.. ....� ;-�.�' : � _'�!; " -- •-- �-----�� '�- -- -- '- - _ -. � ? d_.• -. FUNERALHOMEi! � — '- ' - -'ii":: - - __ . �. . ..... . .. :. �.. ' �''__'i--�i _ _:�-.:.-. -_ _, -- --PEMBERTOIv-BRADLEY" MAIN ST.>'-=LYNVILLEr;;IN, : ,.- - --- - __- _ _.. - = - - - - - _ - - - _ - - -= - _--' -- - - _- - _ = �--��- :.--.� .: - �.-:. .. ._ .. . �. .. : ., ., -.. _ � � 's , �°. i � � ' CERTIFtCATE NUMBER _:_QOOOO409 — � � `�' � -� � ��;�_ � OR VOWME AND PAGE _ _ _ _ � DATE ISSUED 03/07�90 - " �i ' . - , �-. �� � � =- -- - �, - - - - - -- - - _ � � ° _ _i: i - - - - - - - - _ - - � - - , vli-�. ' -- ;- i - ; '- -- - ;,- - _ � - i�=:, �: ' i _.i Ev . _— _ - � , � - �- r il=t: - __ NOT VALID UNLESS SIGNED 8 SEALED � �� �( r_ _ ' - _ � � � ��. � � _ �'_ 4 � ti=. _ .��. _ . _.��.'-._���/��' � M.D. ' �._... - ^.. . " . . -�i1"��. -�. - • ' ..- �. : _ ; ' - _ yANDERBURGMCOUNT HEALTHOFFICER.�-- - - - � " .._ .._ . " ' ' ' ""_ _ _...._ . . _"_ � ' '_ _ _ __ _ _ _ _ __ . _ - _ "" _" '" _ __ _ ' "__ _" ._il_�-�.'_ _' ,'"_ —_ ..-- . �. ..�� .� _ __ — _ " . . � . . . .. . _ __ _ ._ . _ .. _. . . .__ . _ ' _ _ . _ ._ . _ - -- .- _ ' ' ." " __ _ ._ _ . "' " ' . _ i . _ .' . n' '_ .'" .1. i- I i. . _ ' " ' _ ' ' ' _ ' _ ' - __ " ' - - . .' �'—.. '_"' "