Death Certificate - Cox, Alyna_4/7/2010�
Dubois County Health Department
1187 South St..Charles Street
Jasper, Indiana 47546
CERTIFICATE OF DEATh
This Certifies, that according to the records of Dubois County Health Department
�\'ame ALYNA COX
Date OjDeoth March 25, 2008
Szx FEMALE
A/uritol Staru MARRIED
.4ge 67
Time Of Death 2:30 PM
eVame Oj Spcuse WILLI.4M COX
Cuuse O% Death
MULTIPLE BLUNT FORCE INJURY TO CHEST
MOTOR VEHICLE COLLISION
Date O%Disposition March 29, 2008
P(ace of Death MEMORIAL HOSP. 8 HEALTH CARE CTR. Certifier TONY MATTHEWS, CORONER
JASPER INDIANA JASPER INDIANA
Fu.nera� Home LAMB-BASHAM MEM. CHAPEL
Oi�KLAND CITY ii�'UTAtdA 4766U
Local Number 000037
lssiie Date April 04, 2008
\ot \'alid Unless Signed And Sealed
Place Of Disposition ST. JOSEPH CEMETERY
'rRE�1�cTOiJ i�v�ir`��ii,
Book i\'umber 22C
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Du6ois Counly Health Ofjicer �