Death Certificate - Creek, Versa Elizabeth_7/29/1998VANDERBURGH COUNTY HEALTH DEPARTMENT �4399
Room 127 AdminisVafion Building - Civic Cenler Complex - One Northwesf Marfin Luthor King Jr. 8/vd.
Evansville. Indiana 47708-1828
CERTIFICATE OF DEATH REGISTRATION
��ji8 �ertif ie8 THAT ACCOFDING TO THE RECORDS OF THE HEALTH DEPARTM[NT
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NAME VERSA ELIZABETH CREEK .
DIEDIN VANDERBURGH COUNTY INDIANAON AUGUST 24
TIMEOFDEATH OS:3rJ A.M. MARITALSTATUS WI�W S[% FEMALE n�e ' 88
SOCIAL SECURITV DAT[ OF OIRTH ' O%�2%�Z91O
PLACE OF DEATH DEACONESS HOSPITAL .
PRIMARV CAUSE OF DEATH GIV[N WA$ �RT DISEASE—ATHEROSCLEROTIC HEART
DISEASE
PHYSICIAN OR CORONER CHESTER BURKETT, M. D.
PLAC[ OP UURIAL OR R[MOVAL �p�E CEMETERY, OWENSVILLE, IN
FUNERALHOME HOLDERS FUNERAL HOME, OWENSVILLE,IN
C[RTIFICATE NUMBER
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YEAR 1998
RACE �ITE
AUTOPSV NO
MANNER NATURAL DISEASE
onre oF ounin� 08/26/1998
R VOIUME AND PAGE 00001669 DATE ISSUED 08/27/1998 �
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