Death Certificate - Carter, Richard L_3/28/2016 Fii�RT3'FT4:(S STY'3T4:!y:"Y,`awi .viq y_ M.Ha�yi: TV:')+y..FY..aTY i�•oM i M1:a 6:aTi'iY�Y'Jry1:YTSy:aari.,y.`Y. T4: '4' T
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s, VANDERBURGH COUNTY HEALTH DEPARTMENT !
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i Evansville, Indiana 4s
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0 CERTIFICATE OF DEATH i
11 t i is Certifies, THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT 17
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.3 NAME RICHARD L. CARTER
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ii DIED IN VANDERBURGH COUNTY INDIANA ON FEBRUARY 16 YEAR 2007
TIME OF DEATH MARITAL STATUS KAH.IEV SEX MALE AGE 77 RACE :%7;-17 TT 17�g
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pp 1 7/1 L/1924
E;I DATE OF BIRTH - a'
2
PLACE OF DEATH UEACUN SS HUSYI'TAL ?I
tt PRIMARY CAUSE OF DEATH GIN/chi
CORONARY ARTERY DISEASE (7Sa
0 121
PHYSICIAN OR CORONER DAN L EL W.. HENRY M.D- AUTOPSY NO iN
It PLACE OF BURIAL OR REMOVAL COLUMBIA WHITE CHURCH CEMETERY MANNER NATi_RAL DISEASE IN
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it FUNERAL HOME COLVIN FUNERAL HOME; INC. ; PRINCETON, IN DATE OF BURIAL O`./I0i /200 Y
CERTIFICATE NUMBER �+gg
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OR VOLUME AND PAGE 00000373 DATE ISSUED 03/06/2007 7d
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NOT VALID UNLESS SIGNED 8 SEALF,D I=
o VA)DERBURGH COUNTY HEALTH OFFICER --M.D. tt7y
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6: _ • S-FACE OF THIS DOCUMENT.CONTAINS MICRO PRINTING AND BLEED THROUGH NUMBERING•BACKER CONTAINS AN ARTIFICIAL WATERMARK ffffff yq
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FILED
MAR 2 8 2016
GIBSON COUNTY AUDITOR