Death Certificate - Gray, Marjorie_5/16/2003i
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VANDERBURGH COUNTY HEALTH DEPARTMENT 0 9i 13
Roan 127 AdminisUation Buildirtg - Civic Cerrter Cpmp/ex - One Nathwest A�artin Luther King Jr. Blvd.
Evarrsville, Indiana 47708-1828
CERTIFICATE OF DEATH
��jis �ertif ics, TMAT ACCORDING TO THE FECORDS OF THE HEALTH DEPAflTMENT
r�nME MARJORIE GRAY
DIEDIN VANDERBURGH COUNTY W�,�,,,oN oc�roasx os
TI.V,E OF DEA'H 02: 20 A. M. WIDpW FEMALE $�
MARITAL STATUS SEX . AG'c
socw� secuaiTr 08/Ol/1922
DA7E OF BIRTH
PLACEOFDEATH 4112 LONGFIELD DRIVE �
PRI.NARY CAUSE OF DEATH GNEN NLlS M�T�TATIC SQUAMOUS CELL LUNG CANCER
PHYSICIANORCORONEA MARY A. BIEECER, M..D.
?LACE OF BUFIAL OR RENOVAL ARQ'� CII'SEPERY � pgINCE1Y)N � ZN
FUNERAL HOME COLVIN FUNERpI, HOt�4�, PRINCETON, IN
CERTIFICATE NUMBER
OR VOtUM.E AfJD PAGE OOOOI
YEnR ,ZOO2
ancE WHITE
AUTOPSY NO
n,u,uNEa NATURAL DISEASE
DATEOFBURIAL ZO�OG�ZOOZ
98� DATEISSUED 10/11/2002
NOT VALID UNLESS SIGNED 8 SEALED
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