Death Certificate - Hale, Robert R_8/19/2014 VANDERBURGH COUNTY HEALTH DEPARTMENT 01879 Pi -
Evansville, Indiana iT'
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CERTIFICATE OF DEATH 11
• trim crertif ies, THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT �KI a
NAME ROBERT ROY HALE E.:
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DIED IN VANDERBURGH COUNTY INDIANA ON JUNE 09 YEAR 2001 4.
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DATE OF BIRTH 01/22/1924 $�
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PLACE OF DEATH SELECT SPEC]ALTY HOSPITAL {!{p$y
PRIMARY CAUSE OF DEATH GIVEN WAS I SEHEMI C COLITIS 8
CHRONIC RENAL FAILURE •°
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PHYSICIAN OR CORONER RAMA CHI LUKURI . M.D. AUTOPSY NO ($5
PLACE OF BURIAL OR REMOVAL MAUMEE CEM. .OWENSVILLE. IN MANNER NATURAL DISEASE $i
FUNERAL HOME HOLDERS FUNERAL HOME, OWENSVILLE, IN DATE OF BURIAL 06/1 )/7007 0
CERTIFICATE NUMBER
OR VOLUME AND PAGE DATE ISSUED
00001078 06/11/2007
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NOT VALID UNLESS SIGNED&S)EAA ED Q /J1/� l.S9
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VANOERE2RGH COUNTY HEALTH OFFICER I r