Indiana State Board of Health
Medical Certificate of Death filed at Marion County Health Department
Vital Records
Contributed by: Christi Scovel
Deceased Name: David F. Scovel
Sex: M
Date of Death: 4-18-1983 Race: O Age: 39
Date of Birth: 8-12-1943 County of Death: Marion
City, town, or location: Indianapolis
Hospital or other Institution: Methodist Hospital
If Hospital or Inst.: Hospital
State of Birth: Ohio Citizen of what Country: USA
Married, never married, widowed, divorced: Married
Surviving Spouse: Mary S. Scovel
Was decedent ever in US armed forces: Yes
SSN: 305-44-3775
Usual Occupation: Inspector Kind of business: Auto Parts
MFG
Residence State: Indiana County: Madison City Town or
location: Anderson
Street and number: 3331 Canaday Dr Residence on a farm: NO
Inside City Limits: Yes Deceased of Spanish Decent: NO
Father name: Robert McCain Mother Maiden name: Frantz,
Janice Scovel
Informant: Mary Sue Scovel-Wife Mailing address: 3331
Canaday Dr Anderson Indiana 46013
Burial Creamation removal other: Burial
Cemetery: Memorial Park Cemetery
Location: Anderson Indiana date: April 21, 1983
Funeral Home: Rober D. Loose Funeral Home Anderson Indiana
-- to the best of my knowledge death occured at the time date and place
and due to the causes state signed John v. Taylor MD
Date 4/18/1983
Hour of Death: 12:45 am ( it was suppose to say PM)
Name of Attending physician: Schroeder, James MD mailing
address: Methodist Hospital Indianapolis
Date Received by Local Health Officer: April 21, 1983
Immediate cause: Poorly differentiated metastatic Ca of
uncertain 1degree
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