Death Certificate - Banet, Lois Jame_6/23/1999--.�� ..'�-. �-
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VANDERBURGH COUNTY HEALTH DEPARTMENT 01398
Roan 127 Adminisbation Building - Civic Cerrter Canplex - One Nathwest Maitin Luther King J�. Blvd.
Evartsville, lndiana 47708-1828
CERTIFICATE OF DEATH REGISTRATION
��jis �erti f ies, THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT
�,E LOIS JANE SANE'P
DIEDIN VANDERBURGH COUNTY INDIPNAON APRIL 30 Y� 1999
n�+eoFOEnrH 09:40 A.M. tiywR,usTnrus ��I� sex FEMALE AGE 49 ance �ITE
SOCUL SECURITV DA7E OF BIRTH 07/29/1949
auce oF oennn+ ST . MARY' S MEDICAL CENTER
PRI�LIRY CAUSE OF DEATH GNEN WAS C��RZr. pNOXIA
VENTRICULAR FIBRILLATION
PHYSICW�^70RCORONER JEFF'REY SELBY, M.D.
PLACE OF BURIAL OR REI�40VPL ST. JOSEPH, PRINCETON, IN
FUNEFWLHOME COLVIN F'UNERAL HOME, PRINCETON,IN
CERTIFICATE NUNBER
OR VOLUNE AND P�GE 00000942
AUTOPSY NO
Mntauea NATURAL DISEASE
DATEOFBUFIAL 05/04/1999
DA7EISSUED 05/17/1999
NOT V.1LJD UNLESS SIGNED 8 SEALED
O" " _"` 4 , �1✓�r%�i,���1 �-.
V.WOEFBURGHCOUNTYH THOFFIGER