Death Certificate - Ballard, Grace E_11/14/2003L
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VANDERBURGH COUNTY HEALTH DEPARTMENT !) ±_ j_ !-� �
Evansville, Indiana
CERTIFICATE OF DEATH
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NAME GFtACE E. BALLARD
DIEDIN VANDERBURGH COUNTY INDIANAON
TIMEOFDEA7H OH:OO A.M. MARITALS7A7US �HIED
socw� secuairv
PIACE OF DEATH DEACONESS HOSPITAL
PRIMARY CAUSE OF DEATH GNEN WAS �'1`�AL F'AILUHE,
PHVSICIANORCORONER ANDREW PIERING� M.U.
SEPTEMBER 27
SEX �'EMALE AGE 65
DATEOFBIR7H 05/17/1938
AUTOPSV NO
VEAR 2��3
ance WHITE
PLACE OF BURIAL OR HEMOVAL NORTHVI�,W, ELBERFELD � IN MANNER NATURAL DZSEASE
,,FUNERALHOME STODGIiILL FUNEkAL HOME, FT. BRANCH,IN DATEOfBURIAL 09/30/2003
CERTIFICATE NUMBER
ORVOLUMEANOPAGE OOOOZO91 DATEISSUED 1O�OZ�Z003
NOT VALID UNLESS SIGN[D 8 SEALED
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