Death Certificate - Ferguson, Mildred L_9/28/1992VdND� BURGH COUNTY HEALYH DEPARYMENT
Room 127 Civic Center - One N.W. 7th Street
Evansville, lndiana 4 7 708-1 828
CERTIFICATE OF DEATH REGISTRATION
�i�jis �ertif ie8, 7MAT ACCORDING TO THE RECOR�S OF THE HEALTH DEPARTMEN7
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NAME MILDRED L (SI�ELTON) FERGUSON
o�EO�NVANDERBURGH COUNTY INDIANAON NOVEy6ER z� VEAR �990
TIME OF DEATH 12. 10 PM MARITAL STATUS M8I'T1Ed SEX FeQ18jL' AGE 69 RACE Wf11iE
SOCIAL SECUFiITV DATE OF BIRTH
PLACE OF DEATH ST MARi" S MEDICAL CENTER .
PRIMARV CAUSE OF DEATH GIVEN WAS MESENTERY ANTERI THROMBOSIS
PMYSICIAN OR CORONER -
auce aF suaih� o�i ReMOVru.' - ��a� CEMETERY, OWENSVILLE IN
Fur+ean� HoMe -,..HOLDER' � s 19 _$ MAIN OWENSVILLE ZN 47G65
CER7IFICA7E NUMBER OOOOZZ%-%
OR VOLUME AND PAGE
AUTOPSY NO
MANNER Natural Disease
OATEOFBURIAL � 12��1�199�
' DATE ISSUED 12 / 19 / 90
NOT VALID UNLESS $IGNED 8 SEALED
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Y.D.
VNJDERBURGM COUNTV HE�LTH OFFICER