Death Certificate - Barrett, Mary Jane_6/11/2009if
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VANDERBURGH COUNTY HEALTH DEPARTMERIT
31091
Evansville, Indiana
CERTIFICATE OF DEATH
��ji8 �e rt iFies, THAT ACCORDINC TO THE RECORDS OF THE HEALTH DEPARTMENT
NAME Mp,F(Y JANF. I3AItRETT
DIEDIN VANDERBURGH COUNTY INDIANAON VEAR •
MARCII 31 2009
�iIMEOFUEATH OZ:4O A.M. MARITALSTATUS p.�kItIEU SE% N•FMA��F AGE HAC[ 1�.�]�(`r
SOCIAL SECURITV � DATE OF BIRTH � 1�� �� 1941
PLACE OP UEA'iN 57'. MARY' S MEDI CAL CL'N'CER
PRIMAFV CAUSE OF DEATH GIVEN WAS MYELODYSPI,ASTI C SYNDROML'
SEPSIS
PHYSICIAN OR COFONER LO7�I' I HFiDAD � M. D.
PLACE OF BURIAI OR REMOVAI.
owr;NSVi �,�.,e c�;n+rrr�zY
FuNean��+oMe HOLDERS I'.H. OF GIBSON C0. INC.
CERTIFICATE NUMBER
OF VOLUME AND PAGE
�����i02
AUTOPSY NO
MANNER NA'CUI2tU. D[SLASE
DATE OF BURIAL �4�O4�ZOO9 •
DATEISSUED
04/14/2009
NOT VALID UNLE55 SIGNED & SEALLU
_ � � �� M/ F/' M.D.
�a�iW�jQEf19UFiGh COUNTV hIEAITH OFFICL(1