Death Certificate - Gray, Marjorie_10/11/2002VANDERBURGH COUNTY HEALTH DEPARTMENT 09i1�
Room 127 AdminisUation Building - Civic Center Complex - One Nortinvest Martin Luiher King Jr. Blvd.
Evansville, Indiana 47708-1828
CERTIFICATE OF DEATH
��ji8 �ertif ies, THAT ACCORDING TO THE FECORDS OF THE HEALTH DEPARTMENT
ruME MARJORIE GRAY �
DIEDIN VANDERBURGH COUNTY W�,,,oN oc�roasa os Y�, zooz �
TINE OF DEA'H O2: ZO A. M. �RITAL STATUS WI�W SEX F�,r'E AGE 80 qqCE �ITE
SOCIAL SECURITY 08 Ol/1922 I
DATE OF BIRTH /
auce oF oEnni 4112 LONGFIELD DRIVE
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PRIMARY CAUSE OF DEA7H GNEN WAS M�T�TATIC SQUAHOUS CELL LUNG CANCER �
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PHYSICIANORCAFONER MARY A. BISKER, M..D.
PfACE OF BURIAI OR RE.NOVAL ARCF� CEF�rERY,pRINCETON � IN
FUNERALHOME COLVIN PUNERAL HOML, PRINCETON,IN
CERTIFlCATE NUMBER ,
OR VpIUME AND PAGE OO
AUTOPSV NO
MANNER NATURAL DZSEASE
DATEOFBURIAL LO�OE�ZOOZ
001980 oarEissueo 10/11/2002
NOT VAL1D UNLESS SIGNED 8 SEALED �
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