Death Certificate - Walden, Carlos T_6/7/2005VANDERBURGH COUNTY HEALTH DEPARTMENT 15457
Evansville, lndiana
CERTIFICATE OF DEATH
��jis �e rtif ies, THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT
N,�,�;� CARLOS T. WALDEN
DIEDIN VANDERBURGH COUNTY WDIANAON JANUARY 11 ��, zoos
iI�fEOFDEA7H OZ;3O P.M. ti;qRITALSiATUS ��IE� sEx �LE ncE �4 ancE WHITE
socw� SeCVRITY DATE OF BIRTH 03/18/1930
PLACE OF DEAT4 DEACONESS HOSPITAL
PP.Ih'.ARY CAUSE OF DEATH GIVCN WTS STROKE
PHYSICI�4VORCOROkER CLIFFORD DOTSON, M.D.
PLACc OF 6UnI:.L OR RENOV:.! OAFC HILL CEMETERY, PATOKA, IN
F�'�=RA=H���F DOYLE FUPiERAL HOME, PRINCETON,IN
C'eR➢FlCATE lJU��tBE R
OF VOLU"E luJD PAGE
AVTOPSY NO
hLY'JNER NATURAL DISEASE
DATE OF BURWL Ol/14/2005
"' 00000104 DATE ISSUED 01/31/2005
NOT VAL1D �JNLESS SIGNED 8 S ;� '°'Li+�;
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— M.D.
. V0.\DERBURGH CWNiV HFTLTH OFFILER