Death Certificate - Chamberlain, Deborah Ann_7/14/2000-=-'-._.-.-,-_.-.: -- •-- ---....._�..__-::_:_ -- __- �
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'`�� VANDERBURGH �COUNTY HEALTH DEPARTMENT .- � 5370
: Room 127 Administration Building - Civic Center Complex - One Northwest Martin Luther King Jr. Blvd.
�f Evansville, lndiana 47708-1828
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�i CERTIFICATE OF DEATH REGISTRATION
;��jis �ertif ie8, THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPAflTMENT
NMIE DEBORAH ANN CHAMBERLAIN
DIEDIN VANDERBURGH COUNTY INDIlWAON
TIMEOFDEATH O2:4S A.M. MARITALSTATUS ��IED
SOCIAL SECURITY
SEPTEFFlBER 19
sex FEMALE qG_ �i%
DA7E OF BIRTH 04/27/1951
PLACE OF DEATH ST. MARY' S MEDICAL CENTER �
PRIhL1AY CAUSE OF D'eATH GIVEN WAS CANCER—NON SMALL CELL LUNG CANCER
PHYSICIAN OR CORONER RICK BALLAU, M. D.
PLACE OF BURIAL OR REM1tOVAL O4IIIVSVI LLE CEMETERY � IN
FUNERALHOME WERRY FUNERAL HOME, POSEYVILLE,IN
CERTIFICATE NUMBER
OR VOLUME AND PAGE OOOOZHSO
v�r,R 1998
RACE �ITE
AUTOPSY NO
h1ANNER NATURAL DISEASE
DATE OF BURIAI 09�z]_�1J9$
DATEISSUED 09/24/1998
NOT VALID UNLESS SIGNED 8 SEALED
� . `YY1��J' �i-% �-f^/I
VPNOERBURGMGOUhiY OFFIGER