Death Certificate - Carpenter, Virginia Mae_4/25/2011VANDERBUEtGH COUNTY HEAL.TH DEPARTMENT 14566
Evansville, Indiana
CERTIFICATE OF DEATH
�G}/{,�� �Q�•`�L�Q�� THATACCORDINGTOTHERECORDSOFTHE HEALTHDEPARTMENT
NAME VIRGINIA MAE CARPENTER
o�EO�N VANDERBURGH COUNTY�NO�ANAON OCTOBER 73 VEAR ZO�O
TIME OF DEATH ��� OrJ A. M. MARITAL STATUS WI DOW SE% FEMALE qGE 84 RACE WHITE
SOCIAL SECURITY DATE OF OIRTH 03/1 1/1926
PLACEOFDEATH" , ST. MARY'S MEDICAL CENTER
PRIMARVCAUSEOFDE�THGIVENWAS CLOSTRIDRUM DIFICIL�E CALITIS
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BGWEL ISCHEMIA / INFARCT
PHYSICIANORCORONER JAMES MASEREJIAN� M.D. AUTOPSV NO
� PLACE OF!BURIAL OR REMOVAL MAPLE HI LL CEMETERY MANNER NATURAL DI SEASE
FUNERALHOME COLVIN FUNERAL HOME, PRINCETON�IN DATEOFBURIAL �Q/�6�ZO�O
CERTIFICATE NUMBER
ORVOLUMEANDPAGE 00001994
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DATE ISSUED � ��O�J�ZOi O
NOT VALID UNLESS SIGNED 8 SEALED
—.`� � �C.-�.�:�.— � � _ Mo.
VANDER�URGH COUNTV HEALTH OFFICER
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