Death Certificate - Teeters, Charles_4/13/2000�
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VANDERBURGH COUNTY HEALTH DEPARTMENT 10732
Room 127 Adminis6atlon Burlding - Civic Center Carq�lex - One Natinvest Martin Luther King Jr. Blvd.
Evar�sville, Ind'rana 47708- 1828
CERTIFICATE OF DEATH REGISTRATION
� �t�is. �ertifies, THATACCOROINGTOTHE(7ECORDSOFTHEHEALTNDEPARTME1Ji
NAME CHARLES E. TEETERS
o�EO�N.VANDERBURGH COUNTY INDIANAON DECIIdBER 10
' TIME OF DEATH lO: SO A. M. �RAL STATUS ��IED SE% �t'E pGE 65
SOCIALSECURITV 11/23/1934
DATE OF BIRTH
PLAGEOFDEATH SELECT SERVICES-DEACONESS HOSPITAL
PRIMARY CAUSE OF DEATH GNEN WAS P��ONIA
PHYSICIANORCARONER DANIEL HINRY, M.D.
PLACE OF BURIAL OR REMOVAL I.0.0. F. , PRINCETON, IN
FUNERALHOME COLVIN FUNERAL HOME, PRINCETOIV,IN
GERTIFICATE NUNBER
Of7 VOLUME AND PAGE 00002455
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AUTOPSV NO
vEAA 1999
ancE WHITE
MqNNEq NATURAL DISEASE
DATEOFBURIAL 12/13/1999
DATEISSUED 12/22/1999
NOT VALID UNLESS SIGNED 8 SEALED
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