Death Certificate - Barrett, Nell Laverne_4/5/2011VANDERBURGH COUNTY HEALTH DEPARTMENT 16970
Evansville, Indiana
CERTIFICATE OF DEATH
�!, I� �[•l�tifi e.� � THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT
NAME NLi,t, i�nv�;t�Nr HnkKC•r��
pIEDIN VANDERBURGH COUNTYINDIANAON
TIMEOPDEATH OZ: L% A.M. MARITALSTATUS MAIZRIGD
SOCIAL SECURITV � �
PLACFOFD[ATH �)�;AC�)NF55 Fios�rcr: cnitr, c�;N1�rK
PRIMARV CAUS[ OF DEATH GIVEN WAS SEP�PI C$}IOCK
PHVSICIAN OR CORONER MAQf��oi, nrtMr:� � M. D.
PLACE OF BURIAL OR REMOVAL �UMEI''. CEME��ERY
FUNERALHOME
CERTIFICATE NUMBER
OH VOIUME AND PAGL"
DECEMLi[iR 06
SEX ['rMALE AGE 72
DATEOFBIRTH O���O��Si3$
HOI.,DERS fUNERAL ttOME OH GLNSON COUN'fY
AUTOPSV NO
VEAR Zn I O
RACE WHI7'E
MANNGR NATURAL DISl;AS{;
DATEOF�URIAL �Z�OU��n1U
DATE ISSUED
00002294 O1/13/201]
NOT VAL�ESS SIGNED & SEALED
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