Death Certificate - Breivogel, Mary Ellen_5/3/1995a , -,a
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� AUDITOR�` 6 � 9
POSEY COUNTY HEALTH DEPARTMENT
Coliseum Building
Mount Vernon, Indiana 47620
CERTIFZCATE OF DE�TH
This certifies, that according to the records of the Posey County
Health Department
Name MARY ELLEN BREIVOGEL
Died in Posey County, Indiana on May 11, 1993
Time of Death 02:30 AM Marital Status M Sex F Age 53
Race W Place of Death: Address NEW [I�RMONY STATE P�RK
City NE[4 HARMONY State IN
Primary Cause of Death Given: CARDIO BLOWOUT (REPORTEDLY)
MET4STATIC SQUAMOUS CELL CARCINOMA, CARCINOMA OF CERVICAL
ESOPHAGUS
Physician or Coroner CURTIS SCHINEBERGER, M.D.
Place of Burial or Removal: Name HOLY CROSS CEMETERY
City FORT BRANCH State IN
Date of Burial May 13, 1993 Mortuary:STODGHZLL FUNERAL HOME
Book No. CH6 Page No. 170 Record was Filed June 4, 1993
Date Issued Ptay 5, 199�
Not Valjrd Unless i ned &, aled
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G'� Posey C un � Health Officer