Death Certificate - Traylor, Robert Ferris_11/22/2006VAWDERBlIRG9i COIJPITY HEALTFI DEPdRTMENT 0003�
Evansville, Indiana
CERTIFICATE OF DEATH
��ji8 �ertif ies, THAT ACCORDING TO ThIL RECORDS OF THE HEALTH DEPARTMENT
�M� ROBERT FERRIS TRAYLOR
DIEDIN VANDERBURGH COUNTY INOIANAON AUGUST 29
1'IMG OF D[A�H OS.:1.O P. M. MARITAL STATUS WI�WER sex Mp'LE AG� H3
SOCIAL SECURITV DATE OF BIqTH Ol/26/1923
GLACEOFD[ATH VISTA CARE HOSPICE @ RIVERPOINTE
PRIMARV CAUSE OF DEATH GIVEN WAS CORONER—CARDIAC ARRHYTHMIA
RESPIRATORY FAILURE
RIGHT HIP FRACTURE FALL
PHVSICIAN OR CORONER DONALD ERK, CORONER
PLACE OF 6URIAL ON REMOVAL EVANSVILLE CREMATORY
FUNERAL HOME TITZER FAMILY FUNERAL HOMES
CERTIFICATE NUMBER
OR VOLUME AND PAGE OOOOZ691
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DA7EOFBURIAL 08/31/2006
onTeissueo 08/31/2006
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GIBSON COUNTY AUDITOR