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Death Certificate - Williams, Joe H_2/9/2006VANDERBURGH COUNTY HEALTN DEPARTMENT 0 3266 Evansville, Indiana CERTIFICATE OF DEATH ��jis �ertif ie8, TNAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT �E JOE H. WILLIAMS DIEDIN VANDERBURGH COUNTY Wqq�.�qpN � 17 ,,E�, zoos TIME OF DEATH 1z' Z$ P' M• �„�qq�Tq� STATUS �RIEP sEx �LE AGE 6� w,cE �jTE SOCIAL SECURI7Y 08/09/1940 � . DATE OF &FiTH PLACEOFDEA7H ST. MARY'S MEDICAL CENTER PRIMARV CAUSE OF �EqiH GNEN WA5 ACUTE INTERSTITIAL FZBROSIS HAMMAN RICH D?SEASE PHYSICLW Ofi CORONER RALPH MILLSAPS . M. D. nuroasr YES RACE OF BURIAL OR REN,OVAL COLUMBIA WHITE CHURCH CEME^tERY �wNEa i7ATURAL DISEASE FUNERALHOME COLVIN FUClER?L HOhIE, PRINCBTOti,Iti DA7EOFBURIAL 06/21/2005 CERTIFICATE NUMBER ORVOLUMEANDPAGE 00001311 DA7EISSUED 06/30/2005 NO7 VAL1D UNLESS SIGNED 8 SEAIED _�.w.Q, � ,�ird,) �NDERBURGH COUNLY H FFICER M.D. C•` k'i + �_ It,