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Death Certificate - Lamey, Angela_4/3/20123.�',s.:, INDIANA STATE DEPARTMENT OF HEALTH: ;`�. : , ,; CERTIFICATE OF_DEATH ' .�;- �''��' � Local No OO � 672 ' EDR No 000000217173 State No 0 ,: 4uu:�c � l:;�l Na z(FVSI. A+�Ne. Lxil 1a. Maaen Npme (ll lmak) Z. $m 3 ime 0: Di PM u mces� IOI�CeaNOareealnaMaspfai�, t0a Ilpea•J�OC:wreCSOmeW�ereOYUrTivnAMOSp:al ❑ MosMa FerJ.ly ❑ DeceaerCS Horo ❑ Nwwq NaMAafpte�mCere FaoYry �'+as � No O Ur�'v�wn O�^oai�en � Emnqmcy Depaivnem Ovr.peuen � Deea on nrrnai � �� �Sp��y� �xi1J iJ•ne 1�1 Yd l AIUOM. Grve Stttl 3np NVIN¢r) HEALiHSOUTH DEACONESS REHABILITATION HOSPITAL IhDIH�JA 30�d 64ST NIARRENTON ROAD —'--w�rn [msawn H�IGH SCHOOL GRADUATE OR GED i DAt:IE!. lAtitEY ; __— .._ v n C.-rs.vr. I^I'tn:,,: [I � tma..m p Oora]m � Er�tv:inn�ec i[1: ...n�:. r�_uie : C G_,.�, ictKar; f'/.TSCMpY.���OTM'N� �—r:] Nanc>(1 I ❑ Yes !j N> ICT(lfl/]fJ BSON HAUBSTADT SECRETARY 168. FORT BRANCH. IN /41yU� ❑ Mamea Q Mamea. &n5eora:ea ❑ Prn:ec 0 VMwM ❑ tlever Mvrea ❑ Unwwn BENKERT ❑ vez 7 r.c OBERT S STODGHILL BY ELECTRONIC SIGNATURE IFD0702a37a _ Cause OI �eam �See Instmniws Antl Eaamples� qpyo.:na�e ?2 4'ai� 1 C�!cr Tha r.� 3n a�en:s � Diseases, Iryur�es.0� Canpbcati�ns - iNt Dvedry Causea Tne Deauh Do Nat Emn Tem�viai Evems �^�M����� �^sz' Su'M1 P5 Ca:oiac ArtxA. F?sD+a:sy Avesl. Or VenlricWar PiIXJlalion N51hou� SMxvg Tne Elioloqy. Do Not ACIXeviaie. Err.er ONy One Cause On To Deam � 1�= = �U4 d.xh:mal lrt�es II Ne.esiary ONE HOUR AND .r.r..��an; f.s:ise �Fna� D�sazs=0r C:�WUion Ress�� In 0enn� A / W TE IdYOCARDIfd INFARCTION AKO VENTRICULAR F19RIllATlOY ZS RllN __ �nun+a..rra�e M Se:-+.:a.ry ��;; Cm�c�: ss. u M/. �ca:mg Ta Toe Cause :isea On B — 1..r�,:. Eel�,n�eUn;cnivgCa�sel0lseaseOrinjvyTnatlmtateo a.w� .,��....�..m iR E: ws Rat.++✓g m D=am1 Lasl � _. a. �c ia.. a wo,.R: D __ or���-"rsta�:nz�$+pulr,a_ni��w�a:i�onsCOn^M�t.rw�oDea;nBinl:oiResJCrqlninaVmerryvqCauseCmnlnPanl ]9. WaiFnFiCOpsYPaRameC'1 ' �VBS �' No :•UUnO.�aRIEAtBOI�c:d (]C.YR:eA_o45i�=K�xy4v�2_wTCCa�k:eT.v.Cau.cUCtJ�° oYeS ��: Lailcpe:wUSeC'.✓'.�nEV:elo'Jea:t�� ]2.IIFlmdle. JJ.Mam!/O/CeaT: , f-1 C. ryatio.� �ye�o�yr.� � w���i1m�P0.�n � r�y mn.Mw�p�nwnn�:pn�o-0.�m Q Na1Nl1 Q i1MK1CB ❑ ACOOPl3 ❑ i+`yV�ln'e25:ga! �-I.a 'J 4hWadY C'J NO � V.iiiq.vel ❑ v ��n. . e+^�r.. .. e.a. o... r.wn.w.. n... ❑ S,iinae Q Cwa r.ce 0e ce:ertrvre� �Se �:.�e�lliiurylA�m�tvUa��f�a.) J_ :meOIIM�+ry I�c.RaceOliMYIE.C..DeceEe�YSh�me.CanilicumSte.fiesnus'K.iboOeEaraal J. �Tr.-iNbe., ❑ Ve5 LI ��o lGnet My IN 47 i 1 di�A _ _,.—. _ __ _ _"_" __ .__—_—_ . __ __--_'—_— ___— _— $;.r.�xm 53Bn pnE:;iqN ESTATE P.w_ SwalSecmty � is oevg �ec�es:e! by ws state aqer¢y n or0er m pursue responsro�ey. Dis:bwre •. >. � IVRA�20 �v.± :=i (7)OS) .� 1 1 ' I I' I 1 ❑c�..s..n� ewmx Cl tieaa.Or.<e� SEP will �e no oenaly �a re:usal � u I