Death Certificate - Hyatt, Sidney_4/15/2010} _ .
POS�Y COiTNTY HE�LT?� DEPARTMENT
12%42
Coliseum Building
; Mount Vernon, Indiana 47620
' . CERTIFICATE Or^ DEATH
This certifieG, that according.to the records of the Posey Courty
Health Department
Name SIDNBY HYATT
Died in Poeey County, indiana on September 6, 2007
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Race W Place of Death: Address NEW HARMONIE HEP_LTNCF�RE CENTER,
City NEW FiARMO�Y , State IN
Pr_marp Cause o� Death Giver: ACUiE �IYOCARDIA� ZNFFRCTION
Physician or Coroner CH�'STER R BliR?C�TT, M.D.
Plac? of Burial or Removal: Name MT. PLEASP.NT CEMETERY
City GRIrFIN State ZN
Date o` Burial September 10, 2007 Mortuary:tv�'RRY FU?vERAL HOME
Book No. CHS Page No. a7 R°cord was Filed September 10, 2007
Date Issued Se�tember 10, 2007
Not �ialld Unless S�gned & Sealed
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�osey County �ealth O�ficer
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