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REGISTRAR OF VITAL STATISTICS _ .- •
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e r KENTUCKY CERTIFICATE OF DEATH - "6 201937882
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7 Case#: E201910250074
- ,.ctEr.n.ins LEGAL NAME(Ant um..lag0„eld.MN.a.71 AKA•'JOE) - lb IF FEMALE,DE
CEDENTS asoc
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�°)I • JOSEPH 0 HOWLAND NIA MALE
,1'y7 - 3 ACT Ai PRESU.ED DATE OF DEATH a SD CTIe IAL SE7Y HABER SE.AGE-LAST Sb URGER 17F.11R Sc.UROEH 1 DAY a DATE CF BURIN 7.COUNTY OF DEATH
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�����Ip October 24,2019 80 - JEFFERSON V.
r,;,T� 'O a PLATE OF DEATH([Arta oAy au) . _
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(•,'� • UNIVERSITY OF LOUISVILLE HOSPITAL • . . LOUISVILLE,KY 40202 ;
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i k EE WALTER HOWLAND • LUCILLEBENDER '
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Cv� m ELIZABETH BETTY HOWLAND SPOUSE 3366 STONE ROAD,TELL CRY,IN 47556 --
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/``1111"``'a 27 SIGNATURE CE FUNERAL SEANCE UCESEEE(Cr e h DATE HOED 3E 1(Y uCEF6¢71hBER �.fWaE AIO COIi'LETE ADDRESS CF FOEML FAOIUrY • ,`
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vA, PA-TRICK W.RICHARD •
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i • .. n.DATE PFEfiCED DEAD(1#DD'rWYJ 31.ACTUAL OI PRESIAED TINE CF DEATH 32 WAS LEOCAL EJTAMFER OR CORER C0.7UCTE07
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r.daml�a�pad HYPER NSION gi Natural ❑Accident _
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]h a) 3.DATE CFI v TILE CF MAW II.IIDIRY AT W 7 Li PLACE OF INJURY(e p..D.ch .:.R, hog ' a IF NARY.
TRANsAcnrAHON C .SPECIFY:
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. Toeah.a/my tragaap..Ron coner.deee ea.R5.and pace.are do b aoriq.b mum wand. 10/29/2019 _ .. --.
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s: 51 NII ADDRESS,AND 21P CmE CF PERSON WALET IG CAUSE OF DEATH OTDA 311 AHMAD ALHOURAM , -
UMVERSTTY OF LOUISVILLE HOSPITAL,530 9 JACKSON ST,LOUISVILLE,KY 40203 , - -• -
3/' Sl fEGNS7R%,RSUQAATUE _-_- t' S2 DATE Fn.ED(L67CIEWIY) • '1 {
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10/30/2019
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A,THOF2•1
This is to certify that this is a true and correct copy of the certificate of birth,death,marriage or divorce of the person therein named, '-j �y� '"sr ••reteTte 2 �Q--
A� ' and that the original certificate is registered atc the Kentucky Office of Vital Statistics under the'file number shown. 'r�0 (,
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DATE ISSUED- cR6 tq I l'C a oa�0 •403-026, ;;, o ,J( D FORMv9Na.t A ' . State Registrar i•
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