Name: Theodore L Evans Prefix: Suffix: Event: Death Event Date: 01 Oct 2002 Time of Death: 05:40 AM Event Place: Cleveland, Cuyahoga, Ohio, United States Other Event Place: Cleveland Clinic Hospital Registration State: Filing Date: 04 Oct 2002 Residence: Conneaut, Ashtabula, Ohio, United States Street Address: 1000 Buffalo St Residence Postal Code: 44030 Within City Limits: Yes Gender: Male Age: 65 Marital Status: Married Race: White Hispanic Origin: Not Hispanic Literal Other Race: Industry: Education Level: 11 Occupation: Armed Forces: Yes Branch of Service: Air Force Social Security Number: 287-30-8578 Birth Date: 02 Aug 1937 Birthplace: Ashtabula, Ashtabula, Ohio, United States Father's Surname: Mother's Surname: Powers Injury in Ohio: Injury at Work: Type or Place of Injury: Hospital Status: Hospital/Inpatient Referred to Coroner: Not Referred to Coroner Autopsy Performed: No Autopsy performed Method of Disposition: Burial Infant Death Certificate: Certificate Number: 104833 Volume Number: 33617 Registrar Certificate: 04987 Page Number: Certifier: Physician Census Tract: Registration District: 1801 Original Source Line: 104540 Original Source File: deaths2002.DAT Source: Ohio Department of Health
Name: Theodore L Evans Prefix: Suffix: Event: Death Event Date: 01 Oct 2002 Time of Death: 05:40 AM Event Place: Cleveland, Cuyahoga, Ohio, United States Other Event Place: Cleveland Clinic Hospital Registration State: Filing Date: 04 Oct 2002 Residence: Conneaut, Ashtabula, Ohio, United States Street Address: 1000 Buffalo St Residence Postal Code: 44030 Within City Limits: Yes Gender: Male Age: 65 Marital Status: Married Race: White Hispanic Origin: Not Hispanic Literal Other Race: Industry: Education Level: 11 Occupation: Armed Forces: Yes Branch of Service: Air Force Social Security Number: 287-30-8578 Birth Date: 02 Aug 1937 Birthplace: Ashtabula, Ashtabula, Ohio, United States Father's Surname: Mother's Surname: Powers Injury in Ohio: Injury at Work: Type or Place of Injury: Hospital Status: Hospital/Inpatient Referred to Coroner: Not Referred to Coroner Autopsy Performed: No Autopsy performed Method of Disposition: Burial Infant Death Certificate: Certificate Number: 104833 Volume Number: 33617 Registrar Certificate: 04987 Page Number: Certifier: Physician Census Tract: Registration District: 1801 Original Source Line: 104540 Original Source File: deaths2002.DAT Source: Ohio Department of Health
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