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Death Certificate - Ross, Tony Lee_4/21/1994o�� _�c;a 5'I . . '..:- -= "'��.. _:{.:. L i � �' I I , �' � �� °�PR 2 ; 199� � AUD fim_ R'��s � � : JJti : .1R�. ', i S . . c VANDERBURGH COUNTY HEALTH DEPARTMENT �.�.�. 3956 � Room 127 Administration Building - Civic Center Complex - One Northwest Martin Luther King Jr. Blvd. ' � � Evansville, Indiana 47708-1828 ' � �i-' : =� CERTIFICATE OF DEATH REGISTRATION • �`�hi8 �ertif ies, TMAT ACCOROING TO THE RECORDS OF THE HEALTM DEPARTMENT ! I. I i; . ' NAME TOAIY LEE..�.ROSS � � � ... � - i ' DIED IN VANDERBURGH COUNTY� �NO�ANA oN�-�DECerisex o.z �,.�,R. i99z . �. ,. _. I TIME OF DEATH i2.O1 PM �MARITAL S7ATUS �arried , , SE% Male qGE 30 qq�E {1't11LE i I. SOpAL SECURITY � . OATE OF BIFTH NOVEt�i�� 15 , 1962 I • . ., � : :. . , ' auee oF oenrH. ` ST , MARY', S HOSPITAL =;::. _ I ,. . � . . .:>. .. ., ,.. .,,. ',,.: .,_;.. � :�: � • ': ..•.� PRIMARY CAUSE OF'DEATH GIVEN WA$ mPERRALEMIA,: '�! _ � ' ' ' � ESRD, DIABETES.' � ' ' • ' • PHYSICIAN OR CORONER �gIELLEN. DENTINO ,: M D AUTOPSY NO � 1 .�' T�. . . •::_: � i� ; , ,. I � ,.PLACEOFBURIAL�OtlREMOVAC OWENSVILLEfCEMETERY�..��- . ey:;. � MANNER Natural D152852 • I. Fur+ean� Hon+e F'HOLDERS FUNERAL HOME, ` OWENSVILLE � IN ` OATE OF BURIAL 12 / OS / 1992 ' ICERTIFICA7ENUMBER ''.D000'L313 _ � 1z��$�f)z . • � ' OR YOLUME AND PAGE �.' �. . � DATE ISSUED i s E r� , ' f ,.:. I , f �: ��` � _ ' �� { ' .. ! ° � i - N07 VAUD UNESS SIGNED a SEALED . � � � I `' -' - . .:. . . .-t�r�.. . -- _'_ ' ' _____-__�_ . ' } ` .V . .. . � � �� n � a�"n ��o� • � V�NOERBURG COUNT HEA �FFICER " I •�� ' . a. .a.._.a...'.}i .�]i1•".. '5... � .�. ... —• . .. ...�_.:� . /��