Death Certificate - Singleton, Ora F_3/15/1994oi�-c����a
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6103 �
!• VAPl��6iBURGH COUWTY HEALTFi DEPA,RiiViE6�T •
Room 127 Adminisfration Building - Civic Center Complex - One Northwesf Martin Luther King Jr. Blvd. � '
' Evansvi7le, Indiana 47708-1828 , I
• w CERTIFICATE OF DEATH REGISTRATION •
�his �er�if ies, �
!, TMAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT � ' �
OOR,a F. SINGLETON !
' NAME
• VANDERBURGH COUNTY JA\'UARY o� 1993 .
O DIED IN INOIANA ON VEAR
TIME OF OEAiN 9.45 eLM MARIiAI $TATUS `����Lled SE% �talP AGE 81 RACE �`hite �
' SOCIAL SECURITY � DATE OF BIRTH DECG:tBER 21 . 1911 � _
� PLACE OF DEA7N �EACONESS }IOSPITAL I
� PRIMARY CAUSE OF DEA7H GIVEN� WAS HeBCC Diseasc- END STaGE HYPERTENSIUN I
HEART DiSEASt:
• � VE�TRICULAR :\RRHYI'!L`tIAS i
iPMVSICIAN OR CORONER ��jcitaeL H:IRRISO�, ,Cf.D. nuroPSV U� �
� PLACE OF BVHIAL OR REMOVAI SL�ISCT CEMETERY. WIVSLUl1. �IV. MANNER �'t1LUL'ElL ULSfBSe I
IFUNERA� HOME Lt1:`t13-6ASHAN MEM. CH:IPEL.0:II�LAND CjTY.IV. DATE OF BURIAL OI� LY� L7'�3 I .',
ICEfiTIFICATE NUMBEFl �QV�41�1G �1�2��73 '
� OR VOLUME AND PAGE DATE ISSUED •
' NOT VALID UNESS SIGNED 8 SEALED !
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