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Death Certificate - Thompson,Bruce_12/16/2015
��� �� . O�C 16 tip\5 . � P�O�.�pR N� G�eS�N coJ � n 1' Y a I VANDERBIJFtGH COOJMTY HEALTIi DEPARTMERIT 018225 Room 127 Administration Building - Civic Center Comp/ex - One Northwest Martin Luther King Jr. B/vd. , Evansville, Indiana 47708-1828 Ci�l'11 ���\i%��� 0� ��QI I"f �t�is� �e�tifies', THATACCORDINGTOTHERECORDSOFTHGHEALTHDGPARTMENT NAME BkU�-F. �L'HOMYSON DI[DINVANDERBURGH COUNTY �NO�ANAON TIMEOFDEATH OH:SO A.M. MARITALSTATUS �KLED socin�secur�irv ���- PLACEOFDEATH ST. MARY'S MFDICAC� CENTF.R PAIMARV CAUSE OF DEATH GIVEN WAS L.IVE�Ll FAILURR NOVEMF3ER 2.6 SEX �LE AGE S.i DATEOFBIRTH �.���B��.J4H Y[AH 2���1. RACE WHTTE PHyg�CIANORCORONER llM]NNl�.S GULBT'L, M.D. nuroasv NO PLACEOFBURIAI.ORR[MOVAL .7AMES H. UAVIS CkE:MATOkY�KY MANNER NATURAL UISEASE FUNFHALHOME BENTON—GLUNT E'UNF,RAL HOME, HENI)ERSUN,K.Y DATEOFBURIAL ].:I,/2g/Zppj CERTIFICATE NUM�EF ORVOLUM6ANDPAGE UOOOZ2H6 DATE ISSUED 11/28/2001 NOT VALID UNLESS SIGNED R SEALED � � �Qo�.. 4 , "�e��y ,�F(''�� �,7�.., � .'! /_�� M.D. VANOERBURGH COUNTV MLAL'fM OFFICGP 2�- /y -/S� /o� - c� 1. � 3�- o0 7