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Death Certificate - Wallis, Lloyd R_11/14/2001J r' . " ` i,. , �. i. ' `I , 1 �,' 1. . , l� �, r. �� . ;., �:. . � '�i . . ...��. �• " •I • ,i �i I; �i ,�� )iI : ti��:�N�:'!i4 .,N��. � - i�hii 'JSq. ..��q v 4'C fo�y�. '�.S . y� �...y.'.y�.��i.':`�i���`ry:v,.KJ�:��rii .CS'�.? '��.:t..` .:.`:.: .:'.:. .::....I..:..M1:�'....�.. n_ '.v�i.��N�.CYN.� �`�i����` r���; ��.��. .... .:.._..:.. :....:..• a�'. . . �5��.��rq•nm�� .... •.'rp..vrp•o'r.. ..:.�.... ...�..:....1..�.1 . ..�. . �.:�iii •rcei�'�;ki�'��rry �� ..:.:..�::n`:....�..•.M•..:`�::..`�..':.y'_.•.""..•. �. . •.)'rii'��+i� •�ii.�rv . R� . • . "'�'I_ "_ - •..':. _::I� .•.... v �£� 5 oom 7. Adminisfration Building -. Civic Center.Complex - One Northwest Martin Luther King Jr. B/vd. . , Evansville. lndiana 4 7708-1 828 ' •, ' . .I �•, .• �� , CERTIFICATE 'OF''DEATH, � �",� L'+ � C� L Lf L C A�, THAT ACCORDING TO TH[ RECORDS OF 7HE HEALTH DEPARTMENT . �' . .. . � . . . . . .. . . .. NAME LLOYD �R. WALLIS � .. ' � ' .. ' :` ' � �'� . 'i, i . ;, o�EO�N VANDERBURGH COUNTY INDIANAON ..� AUGUST, i9 ' � ..� � .. . . �. � . � . . � „ . . YEAR 200�. " ' TIME OF DEATH 09 � 1S P. M. MARITAL STATUS �RIED " � sex�LE AGE `�� RACE�ITE ' socin�secuaiTV 304-54-8116, ' onreoFeiarH 08/06/1954 � �� auce oF oenrH , DEACONESS' HOSPITAL � .i; t: � � , '. � � . �I � PRIMARYCAUSEOFDEATHGIVENWqS� i� RESPIRATORY �FAILURE �' ' �� � ' � '• ��;'� � � PNEUMOCySTI5'CERINII PNEUMONIA , . � � .� �i� � 1 ii ' i . ., i' . .i .. . .�� ,' . i ' PHYSICIAN OR CORONER .,'THOMAS . FUNP3IUIL�HOME, FT BRANCH�IN� � ' DA7EOFOURIALOH�ZB�ZOO1 . .� 'j.` .. ' . .'i ...._ . r. � . �� . �� �i �. CERTIFICA7ENUMOEN �' ' � � ' • • � � � OR VOLUME AND PAGE., � �'" :::. � �.. ' . . '. ' 1 f:"'�' ' ' i - �0��1610 � :i � ;-.i, . . ,. , i � ,� � �: „ � , ' oaTe issueo 09/OS/2001 , •� -! i,, � . , , ����'� - ' . � , ' � • � � �Q TV�4 LIDUNL � � � `�NE SEALED ✓/�� i i ti� . .i .. � �(�°�Q� �Q . I� q � �.V � . . . :, � ..�...'i . � ' , _i'; , �i ; L � .. , � . -, ' � ' en.o. �3rT�Ti] PJ ' � ' ' � �� VANDER�UFGMCOUNTYH[ALTMOFFICER �11 �/11 f.Y IriTTTni�{inl�n'ITTITS