Death Certificate - Lantrip, Irma_6/24/1994. i_._._._.-.-_.-.-.-
� ._. .o.�._._._._._ _
• 01322
I VANDERBURGH COUNTy HEALTH DEPARTMEi+1T
i Room 127 Adminisfration Building - Civic Cenfer Complex - One Northwest Mariin Lufl�er King J�. Blvd.
Evansville. Indiana 4 7708-7 828
�' CERTIFICATE OF DEATH REGISTRATION
��jis �erti�ies, THAi ACCORDING TO THE RECORpS OF TME HEALTH DEPAqTMENT
I
INAME IiL*fA L. LAtiTRIP
� DIED IN VANDERBURGH COUNTY INDIANA ON AUGUST is
y�,R 1984
• iIME OF DEATHOG:3O A.iI. MARITA� SiATUSr�RIED sEx FE:IALE ]1
f AGE qACEI�NITE
soaa� secuRiTr -
i DATE OF BIHTH 06/Oi/1913
PLACE OF DEATH ST. lL1RY' S!1ELZCAL CE�TER
•
� PRIMARY CAUSE OF DEATH GIVEN WAS giLATERAL axoncfio-p,reur�ovia S[ SGPSIS,
f• RETRO-PERITIO\,1L �1ESCESS. LEFT ABDOPtIC7AL
I�'�11L. 2 TO PEP.FOP�TION OF COLOSTOitI'
j PHYSICIAN OR CORONER �LPIi CARLSON. PI. D.
AUTOPSY Y ES
� PL10E OF BURIAL OR REMOVALj, O.O. F. CEilETERY
fMANNER .y,�T�L DZSEASE
FUNERA� HOME COL��IN FL�EP.AL HOCIE
i OATE OF BURIAI.QB � 1%� 1c�$4
CER7IFICATE NUMBER
• OR VOLUME AND PAGEOOOOI63S
� DA7E ISSUED �5�2��1994
� NOT VALID UNLESS SIGNED 6 SEALED I
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