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Death Certificate - White, John D Sr_8/30/2002-` C� �s := G o =':'I (�3 -. � � � � VANDERBURGH COUNTY.HEALTH DEPARTMENT=: � _ � .__ 04256 -. Room .127 Administration Building - Civic Center Complex - One Northwest Martin Luihe� King Jr. _8/vd. � _ - . .. - Evansville, lndiana 47708-1828 - - CERTIFICATE: OF DEATH : - . - - - � �"%L� v��L�LI-�� _ _ � THATACCORDWGTOTHERECORDSOFTHEHEALTHDEPARTMEN7 � NAMe JOHN D. WHITE SR._- _ - � �DIEDINVANDERBURGH COUNTY I�DIANAON� � TIMEOFDEATH 12•25 A.M. M1�qRITALSTATUS ��IED � � SOCIALSECURI7Y - - - � Puceo�oEnrH" ST.ELIZABETH ANN SETON HOSPITAL JANUARY 12 sex �E :. YEAR ZOOZ A�� 55 q„cE WHITE DATE OF BIRTH - :�2I�2�1945 aai�+.vaveauseoFOenrHCiveNw,�s �RT DISEASE-CONGESTIVE HEART FAILURE ISCfiEI�fIC HEART DISEASE _ _... .. ._ - ' ' � PHYSICIANORCOFONER__� TAN$EAj-[jj� �Q�'�� M.D. ':-_-_�,- -.�- - � � ....- r.' " ' . _ _" -. ..: .. ._:.- _ � _ . . - . . � ' , _�:AUTOPSY ,NO � ___.-ai.nceoFeuain�oaae:;ova� .. DECICER CEMETERY, PATO](A,IN _, nvwNea _:NATURAL DISSASE - FuNeFwiHO�ne COLVIN EUNERA[,"HOME; PRINCETON�IN -..�DATEOFBURIAL _O1�1S�ZOO]. _ _. - . -- � . ..�.. : - _ . . ..- � .:_ " "_ . .• .. .... _' _ "_ ' .. . _ '_ _ _-_ ' _'. . --. .�...�CERTIFICATENUMB�R '. . .- -' -' " ' ' - ' -. ..'_ "_ ' _ ' "' "" ' _ '... . . . - ' _ _ ' ' �'-- '-0RVOLUMEANDPAGE �. . .. - .. - - - . ' " . . - . -.. 00000154 '. _- _ _ - - - .. . . . . - .... .:..� -_ DATE ISSUED '!� Ol „ ' ' _ . ._ . .. ' : .. �_ : .. . .... .. .. ._ r: _ _ ,.%31%2001 •,_ --- - - _ :- � �� -�" . NOT VALID UNLESS SIGNED 8 SEALED �- 4.-;�'��-�,��. . . VANDERBVRGHCWYiYH-�Zf?HOPFICER M.D. i"�1'1'9\ 1"! . . _ _ _ _ _ __ ..r.n evmwe v � � i 1 + ( � t i,i AUG �s 0 2002 . � cia� 7��.� �. o� I