Death Certificate - Shelton, William G_2/4/2004VANDERBURGH COUNTY HEALTH DEPARTMENT O5O6H
Evansville, Indiana
CERTIFICATE OF DEATH
�his �ertif ie8, THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT
w.�sE WILLIAM G. S':_Li'ON
DIEDIN VANDERBURGH COUNTY WDIANAON nEr�ER z2 �� zoo3
TIN,EOFDEATH 1O:'-I'� A.M. ���TALSTAiUS MA-�IED SEX �iAi'� AGE 73 RACE �'�IZE
SOCIALSECURITY DATEOFBIRTH 07/08/1930
PLACEOFDEATH ST. MAR}"S Y.OSPIT:?L
PRIMARV CAUSE OF DEAiH GNEN NWS Pr�r'UMONIA
30?vE MAP.ROW FAILURE
PHYSICIANORCORONER Jz14ES KRUEG�R, M.D.
PLACE OF BURIAL OR RENOVAL ST . STEPHINS, H�TiRREIVTON � IN
FUNERALHON,E STODGHILL FUNERAL HOME
CERTIFICATE NU��IBER
AUTOPSY NO
MFNNER NATUP.AL• DISEASE
DATEOFBURU+L 12/24/2003
OR VOLUNE ANDPAGE OOG02539 DAtE ISSUED 12�L��2003
NOT VALID UNLESS SIGNED 8 SEALED
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