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Death Certificate - Cowan, Douglas S_3/17/2016
. . . . . • _ . . dateern-... Aosiecutaz:ThastsSiThnotords.t. ' 'nrosimait artanoasonaccsa• • • •— two to...--vaesemansocea.t.` asear..... ao•va,;447 ..wla.344aaLIL:: , -.• 1.1.447t;,,•-•,.i1-,Th,;.-• r-'7: : '.. ,•.1:::.71, ; "IS rt Ir. • • • ;9 7. : ,. 71 F.!. ,07 3;!..4*- • I.":rt.;..A.;i1-..,•p!.:•:-....:<:.:.j?,,..1-AhlW;:y•:.:.:•••,:irr•-*--;',I ..,••-.._-;‘,•.,•:•..\L.,..:.;(471.....::y--- -•,3j;-.k`•• ;•t - ---< stigidAv to dpiitii.... v.i....- 1.,:.k.-..N.;;;L:cA:-.?t1;%.(4.:41:-...7,40:.1:. . C. • '...-aft.:::-.t..:::•3:;::::::i: --:.•.•Z .-;P-•.',•••:•7!;;-':.:$2;t2-;....;--.;)•-•1.;;;1,1 :1-.. •.%.:I•-•'; ric:::::0;?.;;:iitv:,-;lin:ki23.-? :;-1-t: .'-:.:.; k --i-fili, t4iiii--: *la-$00, I VY i *k -•-•:::EDR No:./ GI i 9 -3••.•.-•.:4" ...c :" • t Stitt:Fhb/POO 1 d V:n.i".7.;•T•.* . , • • .I-'- '• -1.01 „-- 17 •,":!. (.1k',i g e,,' .*-V-,2•0. I 7"::4•r'er'k'"'.'1''•z?.•.; ' ;';..;i•..t tCfr - .1,•1,,Jr,, s iT, . e' t . ".. '.-tr- ...4.. ':' •'. : ah' ''-.::''' e : 4— c ie 4! Dei ttSCOV4 - . 4- ,, , ` : „ ` 1: LE) r'oE10bPM ; /-D2/6472618'.'.”)'n“ -','‘-.• 7 In.rpeeth Ocomed bi A Hoddst ; .,,• , ; I.. rOe. If Duets OldeuerectSorneelsep Otter ThistA Hapital.,...- t. cr ,, : :.,,. ..,:: ••••,..,..- . -- , . '••-7. 7.C:: •:-'-: 0 11ctspj0ii4:114, 17 DediSent's Hiss. CI:.N.1,mirg Hiitcpwthircer•ttertic .c,-4:> .:zz"i,Ig. 0Y.. aso"0.yrgaw,th, 0144*o 132,40cri*Pirinwrg 6.54>Fftit P°e11°?'"Affts. 0 OrosicaPeciM •• • :. -"-•;--‘•: : I. :: -; ' : ' ,- --t- ; ;:if'' --••••• 7 11.Feats Name LIE Net eandecn,GInSVer andettarbed : • , - : . ST MARYSAVIEDICAL CENTER OF EVANSVILLE;INC • - • . • • - . . a Ger Orison,Stee,41•OPrn Ccrle, . , . . • . . 73.Gaut Of Death - - .74.;Mandl BudusAl line Dt Death: : - : • - .• • • . Ca uses 0 Masfacl,EladeOrkst 1.3•Blvvas'd ' . .. EVANSVILLE IN 47750 . ' ' • - • - : • .VANDERBURGH • ::•:•:.. . P‘114,10,44- 0 qinz 10,1104:':0 untsmi;:.. 1St 0 i Wde)Give Midden Leal Nemo . ! •113. Decedentotholt occosedon .; .... 7.,-racdoteu#Iasinausey--•..,-.. . • . ELVA COWAN , : 7 • - ' . ' GUTIERREZ' .• " . TAXI DRIVER " : . ' ; TRANSPORTATIOft. • IS.Rona-Ante ' ' •. „-' .. ..• : ' •. INDIANA GIBSON . . . . . •. . ..:- - • -.,.. , . PRINCETON •" . • • 407 WEST BRUMFIELD AVENUE: • . -: 5 ; , , . - ... - .• • . . . • .23Yes ,ONo . , 27.•Diadeara Rade, - HIGH SCHOOL.GRAOUATE.OR GED .-•. • '- :. COMPLETED t .. t • .. NOT HISPANIC - ' ' •• White • . • 22-"Byes Mme(FIrstadcle;Lost) . : •. . : • a moon tin Tim NOMA Lod) • . "-. : - -224L MotBOrs Sidra Lir Mn • '• . - •; . . WILLIAM B COWAN ••• • ; ' ' . . . THELMA COWAN : . - : . : •• GRANATH - • . • 24e.Relecostip To Decedent • 2411 Mello Addross(Street And Number.City,Bost,Zip Code) • ' ,•, : ; •:. '• '' • ... . , .. • 7 • • ._. .. . , • . .. ...,. . ., .• .,...- ELVAtOWAN -- 3- - ..."•.- •-, . : WIFE.' '- . • • 407 WEST BRUMFIELD AvENUe:PRINCETON,:INA767O•••- . ••' : • - 25a.mad at Dispethron : . — • •. ; 2Se.Piece 01DIcpasm(None 01Cemelety,Cremdlory,Othedsteder 35c.Locolen-tete,ToreA And State ,': : . 0 Budal 1:4 Cocoa= 0 Deadori 0.Enlandt-ert I. 1: , ; : • -•. : . . - 0•Otor C3PedIr* :.•.--7• '--..:• • ... •• EVANSVILLE CREMATORY . 24 Was Con:~CatadecIT - ' 27. None And Conycles Address Ot Forret Peaty ... . ''27t Fall Man.Ucts.t&cter P Vu N No • '77 : • COLVIN FUNERAL HOME INC,425 N MAIN ST:-;PRINCETON, IN 47670 ' ; • - .-. 7 FHB300597,1- 173.Solaro Of Inane Said Sainte Licensee:. • • 7- • ' ' ' ' JOHN W WELLS., BY ELECTRONIC SIGNATURE. . , - • • • ": - • ••. FD01009940 : '• •: .t • '-....- -:. •( ••• •-• " a Pte31 Bar ri., ;:buseilses,Er**Or darn dilations•That Meetly Caned The Death.Do Not El-ter TOM OS!Everts . • -: • ‘: '7 • .. '' traiat orisin- Sidi As CercrocS Ren5dy Arrest/Or Ventre:044 Fee-Motion Syclhart Shooing The Etiolouy.Do NOI Abtordole.Enter Orly OpeCause On • • :I ; • .: '" ',yo NON f•--. - linnvOrole Dane(Prot*one Or ecOttitiOn Oa1er/I3 irl Death) A VENTRIeUlAil FIBRILLATION • . HOURS . . . ,.. Bequertally list Colitidern,ar/Sy,LeidSio To lber.edie Listed On 1• 8, CCEEEH,OVASCUI-B R ACCIDENT tz..tc;;;; . , c„;x • DAYS Line A Erter The Undid-fro DO4SeTDIectese Or leissitlhalIntO8103: •7- :: • • . •- : : • ; - . . Them Reeullinpri Dpept Last :: " - • : . . ., • • , - . . . • . ___ .. ._. • :Parte.ErnerOmerBlantecant Gentian ContrIbutlnrsto DetIsput Npt Restienoln 11:14 Urrierlying Cone Gtves In Pert I . 29..Wn kappry Payarrmacr? ..."Dm.; am , , . ..... .. . „... - - . • -- ; ' • ' . - :. 1.3.an....P.SY., 0. ..s•um:or• • a ' • .. . nem a coca o:414 :Ca taunt 0 Henickti 0 AeSest 0 Isintrq looeFOOICII . ; • . ; , r .12,144404,4 ea Norse o Climb f purlieu.pea 1:1 manse If!pod Min lin hit',gm: 0 Sukide 0 Cott Not Be Determined ,- . : : • • a Puce 1,13irlentitame.coostnxtiro Me,Restovent Wedded Aron . 37.initty At wort?.. • . • .1.- ' • 'fr•- • ' •• • . . . . .. . . 7. -. , :— ., 3B LoseSto DIFS779•$ta.. i .', : --2 ,38a.C4yOr Town • : 38b.Sheet A NUM WO . .. : . - . .- t All.No. 1St 2Codo ,igv;‘'t'L. 14.1-ri 1:--- :. .■ . • . : .. . . . . - . . . . I BB D°701A 1FBT TFIrt OBB•764 t 7 -.. ,..' .- . '--; . GIBSON COUNTY.k.2, .)".9K auTriffirrerr. b tr;„4„, -..,:: ,„.•..; 1 41,Soutro OrPerson Douro on oLDSEIBT.. .. : -: . ROBEKESHAWN CUTRELV., BY.ELECTRONIC SIGNATURE • 2 . - - 2 .2 ' 0 csrefing physician ,;El paritser -7,-' 0 key:item;; : - -. 4B-NeTIA 4BITIF•Mt 730 Dtst4 Of ForfertDerettInd coos a Doerr , . . : : c ; -.. : •, . . ROBERT SHAWMCUTRELL•i 3700 WASHiNGTON•AVE:EVANSVILLE,IN 47750 - ”, '--.-• . : 1 01068201A -•; . .,'- ••..'WAS/20{6 C-.••• i -. 45:',..54451.4cd liern,y,Stcet:"s :- 7-,-.. ti•.t ; p i .7-v--7 v '. ::I.:, 7' -,. ••7 t li i -I..' ,•-• PI\EIF'cRnir.t7;PST'PI till°7PiteniThiY(2/Tr= 1 -1 '•i i •11 ROBERTKeNNETH SP6ARVIA EtECTRONIt SIGNATURE : t. 1. : 1-7, > 1! ."'7 I 7. 1 i 7: : 1 sFEB 10201W- ''', 11, ; I.. 1 • i ; C : ; r ::,AMENDStErFlit0 C.EILTIFICATE:OF IkEATHIENTTLy OR ORIGINAL) ; : : ; ,I7 - .: t. •:. .: r T I: ; ; - •-': - • • 7 .-• , ••.,. .4 '1 •••••• i . 7 ,,...-1 ic/ ''; ••• ). ,,,,,,•.,.07,1 -, 1 "—nit i i , %.,:,,,..,, ..,;, i- - ::---,„1 L-.i t ..,..---‘4„4". -.,... - .1: -7;,,.: ,-....,7„.:...1, if ,0.7„ ti :, ,;:,:it.g.::;:-:,14....?.-..,4.1t•:sc._1:.•,,.....51:.■,rm•.,,ii,i•,,,- ...-' 6 --4; : - - `as-1•(-)3-73Ficri?- tztai ,}-15.--tr-, ,---s -r''' ' a ii• , ... Jr: •t• .. , .:. , ,.. r tk. ,,.. :- i, i, , 5. -;‘ .e -._ %- ;I: ,1.. 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