Death Certificate - Seaney, Harold L_6/4/2014 VANDERBURGH COUNTY HEALTH DEPARTMENT 06104
Evansville, Indiana
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11 CERTIFICATE OF DEATH
IS e l'ti f i e�Y THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT
NAME HAROLD LEE SEANEY
DIED IN VANDERBURGH COUNTY INDIANA ON APRIL OD YEAR 2010
II
I. TIME OF DEATH 07: 10 A.M. MARITAL STATUS MARRIED SEX MALE AGE 74 RACE WHITE
1 DATE OF BIRTH 10/26/1935
IPLACE OF DEATH DEACONESS HOSPITAL
Y
1 PRIMARY CAUSE OF DEATH GIVEN WAS RESPIRATORY FAI LURE
SEPSIS
1 PHYSICIAN OR CORONER DOUGLAS HATLER,M.D. AUTOPSY NO
PLACE OF BURIAL OR REMOVAL PALEST I NE CEMETERY MANNER NATURAL DISEASE
V
FUNERAL HOME BOONE FUNERA.. HOME DATE OF BURIAL 04/0S/2010
y CERTIFICATE NUMBER
OR VOLUME AND PAGE 00000599 DATE ISSUED 04/14/9010
Y
1' NOT VALID UNLESS SIGNED&SEALED
.1 .L " %-' j/ il. � pp
_.. ... E' T.HEALTH
VANDE, URGH COUNTY HEALTH OFFICER
- '> =;r:FACE OP-THIS DOCUMENT:CONTAINS'MICRO PRINTING AND BLEED THROUGH NUMBEgINGt BACKER CONTAINS AN ARTIFlCIAL VATERM1IARK - -..„
FILED
JUN 4 2014
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GIBSON COUNTY AUDITOR