Death Certificate - Byrns, Pamela P_1/15/2013Lowl No
CERTIFICATE OF DEATH
EDR No OOOOOOZ814Z7
FEMALE
635264
ceS? 10. If Dea� OccurtM In R YaSqW' t0a. tt OCtJ� Omi�reO Somer.Tere OY�a T�an R Hosptal .
❑ Hmpice FdpLry � OeceOenCS Mane ❑ Nu�SVq Hame�lttgR�m Care FiGfiry
❑ Ves � No ❑ Unknown ❑ Inpaoent � EmepmcyOMamnmtOUya�ent 0 DraEOnMrval � pyiglSpeaN) ' .•�'^.
11. Faatty Name (It Na 4isnaiZan. Give SrM arW NumEer) '
7711 BOULEVARD PLACE __
171160ULEVARD PLACE
� e�ual � GemaWn 0 Omaoon p Enmmoment
❑ Rd:prW F`vm StY.e
WHITE CH
❑ ves � No
PRINCETON
1711
❑ r.wnea O r.�amea. a,i smaa,ea ❑ o�.oima
� Wdowea ❑ Ne�er Ma�nea ❑ unFnwm
� Yes ❑ No
Gd VSB Of OedN (SBB IIISWC601�5 / �IO hidTp185� qpp��;e
29. Part I. Enter The CPa�n Of Even6 - PSeaseS. Injunes. Or Comd��� - That QreRty Caused T1ie DeaPi. Do Not En�er Terminal Evenb �laval: OrtSet
SuU As Cartliac Mest Resp'vat«y Mest. Or Ventnwlar FiEnAaGm W�tnwt Showing The E�dogy. Do Not Acoreria:e. En;er ONy One Gause On To Dea;n
A Line. AEC A4EiUnal Lines tl Necessary.
Irmnetlia:e Cause (Final Disease Or Cabltion ResNUnq In DeaN) A. ALZHEIMERS DISEASE 6 YEARS
o� ,.
Sepuenva0y Lin CaMiJons, M My, LeaCing To IDe Causa Listed On B- ,
line A. Enter Tha UnCaty+ng Cause (Disease Or Injury Tta� Ieu4ate0 e� y
The Evenu ResWwg In DeaU�) Les� C.
e� +.n
D.
PaM1 II. Entu ONC j_ fitxi CaM" C � W' Deatlf BN Nd fteSNE�g In Tt�e UnOafyvg Cause Gmn In Part I �9. Waz M Au'apsY ��^^� � Y6 � No
HYPoTTIYROIDISAL HYPERTENSION, OSTEOPOROSIS. ARTERIOSCLEROTIC HEMT DISEASE STANS POST 3p, Were W.opsy Fvdvq n.aaade ioCanpee TneCause Of Oez.n?
STEM � Yg � NO
3t.0ipioEacmUSeConmdteTaDsaN? 32.1'Female: �. �^^�*a��'
❑ vc ❑ arooadr � w O umnw� ❑ wn.w•..w.P...... ❑=�w+,�..•.vo�n ❑�n.maaA.v�.........1�.,.«o.... � wvai O Hmvaae ❑ ncdcem � Pma+S��vss�nga�m
nr�,�v�ya„ia„�,.nao,,,r,+r.¢w,.o„e, ❑ua„e.,, n.�.wT.,in.o,ar.. ❑SUd0e000WaNaBeDeremuneG
NORTH
BRINK
CenSa
❑ Ves ❑ No
�a..iso.an
Cavner . ❑ FMa.nOEcer
osn%izoi2
..I � , i
Stzte Form 53395 q77EMqN ESTATE: il�e Sodal Sewnry> is �e�rg reQUared �y Uis state egeriry in oetla to pursue responsiGtry. Ustlosure rs voluntary aM tnera wa De �w V�e�ry for ra`ussL
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