Death Certificate - Quiggins, James L_6/30/1994�_._._._._._ ._._._._._._._._._._._._._.
01598 �
i• VANDERBURGH COUNTY HEALTH DEPARTMENT I
Room 127 Administiation Building - Civic Cenfer Complex - One Northwest Martin Luther King Jr. Blvd. .
IEvansville, Indiana 47708-1828 I
• CERTIFICATE OF DEATH REGISTRATION •
���jis �ertif ies, THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT I
I '
INAME J�KES L. QUZGGINS � !
• DIED IN VANDERBURGH COUNTY INDIANA ON MyY 23 venR 1994 •
iTIME OF DEATHO<j:lj �j.�. MARITAL STATUSD]_Aj�IEL SE%iSALE .4GE 66 RACQ�'}]ITE i
' SOCIAL SECURITY ' OATE OF BIRTH 05130/1927 !
IPLACE OF DEATH DE.4COVPSS HOSPITAL ' I
i• PFIMARY CAUSE OF OEATH GIVEN WAS PNEIPSONIA '
ADEVOCARCINO?L4 OF LLNG �
I '
• PMYSICIAN OR CORONER AUTOPSY ; i
THOCf.45 E . STAPSPS , ?f . D . `0
1 PL4CE OP BURIAL OR FEMOVALPLEASAVT RZDGE CE?1ET£RI ""aNNER �ATURAL DISE�SE •
1 FUNEF7AL HOME CUR'TIS FWi ERAL HOiIE DATE OF BURIAIOJ�ZGI1994 !
•
' CERTIFICATE NUMBEft I
� OR VOLUME AND PAGE 00001199 DATE ISSUED 06/06I1994 � �
iNOT VALIO jl ESS SIGNED 8 SEALEO � i
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ANDERBUFGN'COVNiY HEr1LTM OFFICER I
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a�UN � 1994
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AUDITOR �