Death Certificate - Willis, Paul Gene Sr_12/7/2006VdNDERBUEiGH COUPdYY FiEAL�'1� DEPdFtTBAEBdT O �018
Evansville, Indiana
CERTIFICATE OF DEATH
��jis �ertif ies, THAT ACCORDING TO Tfl[ R[CORDS OF THE HEALTH DEPARTM[NT
NAME i'AUL GENE WILLIS SR.
DIEDIN VANDERBURGH COUNTY INDIANAON
• TIMEOFDBATH 09:2% A.M. MANIiALSTATUS �IED
317-32-4212
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sex �LE
SOCIAL SECURITV DATE OF BIRTH
PLAC[ OF D[ATH DEACONESS SELECT SPECIALTY HOSPITAL
PRIMARV CAUSE OF DEATN GIVLN WAS �TERIOSCLEROTIC HEART DISEASE
nce 70
08/28/1936
YEAR Z��G
Hnc� WHITE
PHVSICIANORCORONER WILLIAM HOUSER, M.D. nuroPSV NO
PLACE OF �URIAL OR REMOVAL COLUMBIA WHITE CHURCH CEMETERY MANNLH NATURAL DISEASE
FUNEfiALHOME COLVIN FUNF,RAL HOME, PRINCETON,IN ON'[OPBUHIAL 11/01/2006
. CEFTIFICA7E NUMBER
Of7 VOI.UME AND PAGE OOOOZ�.ZH DA7E ISSUED
11/10/2006
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VANOER�URGH COUNTY HEALTH OFFICEN
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�ILED
DEC 0 7 2006
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01880N COUNTY AUDITOR