Death Certificate - Doerner, Marie Hannah_4/5/2011VANDERBURGN COUNTY NEALTH DEPARTMENT 162H7
�-- Evansville, Indiana
CERTIFICATE OF DEATH �
��ji� �ertif i eg� THATACCORDING TO THE RECOROS OF THE HEALTH DEPARTMENT
NAME MARIE HAPAIAH DOERNER _
DIEDIN VANDERBURGH COUNTY�NO�ANAON �
- TIMEOFDEAiH O3:ZS� P.M. MARITALSTANS [v��jF.D
socin�secuRin . �
DECFF7�ER 06
�SEX �FDNA[,$ AGE %(
- DATEOFBIRTH�• �3�]2�]J34
PLACE OF DEATH DEACONESS HOSPICE CARE CENTER
PRIMARY CAUSE OF DEATH GIVEN WAS . I�TASTATI C BREAST CANCER
Y�e,R 2OlO
ancE WHI1B
-' 'PHYSIqAN OR CORONER STEVFN C. BARNEIT y M. D. - AUTOPSY NO ,
PLACEOFBURIALORFEMOVAL 'j`p�SLEY C�E(`ERj� - . - _ �MANNER �'('�J(� DISEASE
FUNERALHOME _� P�g��pN-BRADLEP FUNERAL HOM1�E DATEOFBURIAL 1'L�lO�iOlO
� - CERTIFICATE NUMBER � - - - � - - - � � � � � - �
-0RVOLUMEANDPAGE �OOOOZ33S. _ _ - �� DATEISSUED_ 12�ZI�ZOlO �
NOT VALID UNLESS SIGNED 8 SEALED
{v �/� " �-
�.�- M.D.
VANB RBVRGH CAUNTY HEALTH OFFICER