Death Certificate - Blume, Stella M_8/7/2003RUG-05-2003 15�39 ELHERFELD ST HRMC-HRUBSTA
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VANDERBURGHCOUIdTYHEALTHDEPARTMENT 20896
Room 127 Adminis6adon Buifdirfg • Civic Cerner Cpi�o/ex • Q7e Ncvthwest A?aRin Wfher King Jr. BMd.
Et2nsville, lndlana 47708-1828
CERTIFICATE OF DEATH
��ji� �ertif iea, THAT ACCOfipWG TO 7HE RECOROS OF 7HE HEALTH DEPARTMENT
w,NE STELLA M. BLUME
o�oiN VANDERBURGH COUNTY WqqNAON
TW.EOF�EATH 02:35 P.M. M�R,�srArus wI�W
socw. secuairv
P4ACE OF DEATN ST •�Y' S MEDI CAL CENTER
MAY 13
S�x FEMALE ,�E 83
DATEOFBIRTH �2�04/1920
PR(MAFiY CAUSE OF DEAiH GNEN YAS �K�ER—RESYIRA2'ORY FAILURE
SUBDURAL HEMATOMp,
FALI�
vEna 2003
�E WHS'1'E
PMYS�GhN OR CARONER : DONA[�D ER}(, CORONSR nuroasv NO
pLACE OF BI�RIAL CA REMOV,LL STS. PETER & PAUL, HAUBSTADT, IN nennNEr ACCIDENTAL
Furiean�r+orne WAAE FUNERAL HOME, HAUBS'L'ADT,IN oareoFeuau,� OS/16/20�3
CERTIFICATE NUMBER .
ORVOLUMEANDPAGE . OOOOZOOE P47EISSUED OS/23/2003
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