Death Certificate - Loehrlein, Thelma R_3/24/1995�
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I • VANDERBURGH COUNTY HEALTH DEPARTMENT I
. Room 727 Administration Building - Civic Center Coinplex - One Northwest Martin Lutiier King Jr. Blvd. .
I' Evansville, Indiana 47708-1828 '
• CERTIFICATE OF DEATH REGISTRATION •
��ji8 �ertif ies, �
i TMAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT •
i 1
' ' NAME THEL`f.A R. LOEHRLEIr '
iDIED IN VANDERBURGH COUNTY INDIANA ON ��cx o3 Y�R 1995 i
� TIME OF DEATHIZ:IZ A.iS. MaRITAL STATUS M.j_C.�;IF.D SE% FEFj_�7 F AGE %�j RACEH`$j'j'E •
ISOCIAL SECURITY DATE OF BIRTH O%�11�191J I
' PLACE OF OEATH S�T. P±4Ri" 5 PfEDICAL CE\TER . I
IPRIMARY CAUSE OF DEATH GNEN WA$ �EW 0?�SET SEIZLRE DISORDER I
. SYSIE*1 �'ASCLZITZS .
fACL`fE RE\:�L F�ILURE '
• PHYSICIAN OR CORONER AUTOPSY •
RIC��<D SLOA\. 'i.D. VO
! PLACE OF BUflIAL OR REMOVAL$TS. PETER Ft P�LZ.HAUBSI:�DT�I� MANNER �aTURAL DISEASE i
IFUNERFL HOME h,•�iliE FLR�ER�L HO�SE DATE OF BURIALO3�OE1�liC1� !
ICERiIFICATE NUMBER
� OR VOLUME AND PAGE DATEISSUED !
IOOOu0�21 03j211199� '
� NOT VALID UNLESS SIGNED 8 SEALED �
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� VANDERBURGH COUNTY MHL�HOFFICER '
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