Death Certificate - Lockyear, Michael A_10/20/2003/�
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��IB ����lf flt8 � THAT ACCORDING TO THE RECOR�S OF THE HEALTH D[PARTMENT
nu�ME MICHAEL A. LOCKYEAR
DIEDIN VANDERBURGH COUNTY INDIANAON
TIME OF OEATH O3: ZS P. M• MARITA� STATUS M��IED
SOCIAL SECURITY
PLACE OF DEATH ST. MARY' S MEDICAL CENTER
JUNE 29
SE% �'F' AGE 35
DATEOFBIRTH 05/09/1967
VEAR ZOO�L
ancE WHITS
PRIMARY CAUSE OF DEATH GIV[N WAS CORONER—PULMONARY EDEMA AND CONGESTION
FATAL VENTRICULAR ARRHYTHMIA
CORONARY INSUFFICIENCY
PHVSIpAN OR COROPIF.R DONALD L. ERK,SR. , CORONSR nuroasv YES �
PLACE OF BURIAL OR REMOVAL NORTHVIEW CEMETHRY, ELBERFBLD MANNER NATURAL DISEASE
FUNERALHOME ��STODGHILL FUNERAL HOME� FT.BRANCH�IN DATEOFBURIAL O%�OZ�ZOOZ
CERTIFICATE NUMBER
Oli VOLUME AND PAGE 0001330N
DA7EISSUED 07/19/2002
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R 50500 25250 25250 253.18 21.30 150.85 0.00. 0.00 0.00 150.85
N 0 0 0 0.00 81.03 . ECIALASSESSMENTS
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DUE 0 E Q. 71/70/2003 TOTAL DUE 750,85
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