Loading...
Death Certificate - Hartley, Mitzi J_6/29/2010- - - - - - - - - - - - - - v . . . . �� . . . . _ � �� . � � . � _ . - . . . . � �i . � -. � � . � i �. �, �i , � � � .. i i =� � : . � ' .' i i - �. i . ' � . �-_ � . i i : : � . �. ' VANDERB.URGH�COUNTY,,HEALT,H'DEPARTMENT �0840.9 . , , ,. . .. , : � . ., „ � , ��' ., Evan'sville,'Indiaha- � ' . _ CERTIFLCATE OF:'-DEATH ' ' � . � - � , .. .. . . -��j ig �ertif i e� �.THAT ACCORDING T0 THE RECORDS OF. THE HEALTH DEPARTMENT , . ... ' - . � _ " .. - . �. . 1. ' ., �1 . . � " . ' � _ . � ' i . . i � . I � . . . . . . � . _ . ,. . . _ � � .. I li . . � . �. il NAME , M I 7"!, I' J . I IAI2TL�Y � � � . . , � ' _ _. i . :ii - - � DIED IN VANDERBURGH -CO,UNTY.�NO�ANAON_ '- , . . �,Y, 4-7 - ' � , ' , YEAR .�O�I O�-i'- � � : �. _ . . ' i. . . . . � � .� � _ .I _ .' _ ' _: i : . i . ✓' I' _ll -' � '� TIME-0FDEATH- �' � " ' - - MARI7AL STATUS � � � � -SE%! � � , � � �AGE � � � RACE � � � _ � � � ,i . �11: ]0 P.M. , MARRIED , EgMt1C�� 7:1 . . �� WHI�I'E= - � _ , ,. , .i -��: ii ' soan�sECUairv DATEOF�IRTH 12/25/l)35 � , , . �•.�t'.PLACE'OF�DEATH"_ _ . � '+1. ' � � ' _ I� _ _: i_ _ .. ��" -_ �s' � " " �. . � �i �Dt3ACONGSSLIOSPITAL_ .,_ -, •_ -_'-,•-�•.�-�'••-��.--.�d^--ns"= . . . . _ " . .I: .. PRIMARV CAUSE OF DEATH GIVEN WAS NON �SMAI.,L CELL LUNG CANCFR , ' PHVSICIAN OR CORONER . � . .AUTOPSY . . � � MAQBOOL AIiMED, M. D. NO .. � . � , , �, � . _ PLACEOFBURIALORREMOVAL MARTIN CGMFTL'RY �� � � """""ER NATURAI..".DI'SBASG' � F/ � FUNERALHOME �CERTIFICATE NUMBER OR VOLUME AND PAGE LAM13-i3ASHAM ML"MORIAL Ct1APEL 00000908 iIS DOCUMENT CONTAINS M 0 i� . �. � . I '. i I . DATEOFBURIAL OS�Zi�2OlO � - DATEISSUED � �� �h�l���?�1� � . NO7�V NLES IGN 8 S L. - �� �'/ �� �. �.� �._- �M,4 � ' VAN�ERBURGH COUNTV HEALTH'OFFICER- _ _ �. � _ _ . . ,� � ... _i� i�. i� i�. �i . � , , � i� � a6-�3 � a3-yoo �c�o � 3�b-���