Death Certificate - Barrett, Iva Kathleen_10/13/2009VANDER�RGH COUNTY HEALTH D�RTMENT 3 H O 7 H
Evansville, Indiana
CERTIFICATE OF DEATH
�his �erti f ies, THAT ACCOFDING TO THE RECORDS OF THE HEAITH DEPARTMENT
NunE I VA KAT}D_ EEN BARFET'I'
DIEDIN VANDERBURGH COUNTY INOIANAON
nMe oF oEnn+ O/: JO P. M. µqRRAL STATUS wI I�W
SOCtALSECURITY
PLNCEOFDEATH DEACOiVESS HOSPIT.AI.
SEPTFr�RER 27
SEX FEMA�'E AGE �-�
DATEOFBIRTH 10/04/1935
YEAR 20�9
w,cE 5t'HITE
PRIMAAY CAUSE OF DEATH GIVEN WAS .'�CUTE MI�OCP.RDI tV.: I i��FARCTI ON
CHFONIC CORONARY" AP�TERY DISEASE
PHYSICIANORCORONER JOSEPH MCCONAUGHY, ��t.D. nuTOasv \0
PLACE OF BURIAI OF REMOVAL ODD FELLOWS CEh1ETERY MANNEa NATUI�AL DI SEASE
FUNERALHONE CDLVIN FWi ER,4L HO�tE, PRINCETON,IN DATEOFBURIAL 09/30/2009
CERTIFICATE NUMBER
OR VOLUME AND PAGE OOOO 1 S 1 1
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DATE ISSVED 10/0�/2009
N0T VAW�'LESS SI/G,NE 8 EAL
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VANDERBURGM CWNiY NEALTM OFFICER
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