Death Certificate - Will, Theodore L_3/10/1995• • • •�����• • •s• • • • • •��������o•
� , � 12463 �
I VANDERBURGH COUNTY HEALTH • ARTMENT �
. Room 127 Admrnistration Building - Civic Center Complex - One Northwest Martin Luti�er King Jr. Blvd. .
IEvansville, Indiana 47708-1828 �
• CERTIFICATE OF DEATH REGISTRATION •
��his �ertif ies, THAT ACCORDING TO TME RECORDS OF THE HEAL7H DEPARTMENT I
' � I
'� NAME THEODORE L. tiILL I
• ' DIED IN VANDERBURGH COUNTY INDIANA ON nECE�sEx za Y�.R 1986 •
� TIME OF DEATH jO:O� P.M. MARITAL STATUS ?L'�RRZE'D SEX >L-iLE AGE 4$ ance HHITE I
ISOCIAL SECURITY DATE OF BIRTH 06l0511933 I
• �
' PLACE OF DEATH DFACOVE55 HOSPITAL I
IPRIMARY CAUSE OF DEATH GIVEN WAS HEART DISEASE-PROBt1BLE ACUTE ?iIOC.ARDIAL �
� IVFARCTIO� �
� �
• PHYSICIAN OR CORONER DR. RICHaRD GRIES, ?S.D. AUTOPSY V� •
! PLACE OF BURIAI OR REMOVAI SIS . PETER bc P�.UL. H.�LBST.�.DT � I� MANNER ��TL�Ri�L DISE:iSL i
IFUNERALHOME H��E FL��EIiAL HOME. H.4UBSTaDT. I\ DATEOFBURIAL1Z�Z/�1956 '
• •
' CERTIFICATE NUMBEA _ . . .
� OF VOLUME AND PAGE OOOOZZ3/� DATE ISSUED 03I10�199� �
! . � NO7VALIDUNLESSSIGNEDBSEALED i
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VANOERBVRGH COUNTY H OFFlCEfl I
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