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Death Certificate - Martin, Pansy Louise_3/25/1996►y � � . � -_ � _ �_ � � s c_7 i•�a c v a�� s�a �r •�� � L � � �:� -r �. � � -T- o �= � � ��, i� -r � :nn a_ "princ= St. - ' .a�==.,� r�.;;sr,a -'g7n �:2-38�---=1 -- DO'� - 00��{a-00 - — - -- C�^'`.a''� - � °=- - _ : , �. _ ,- L: - � � � .. i -. _:�� _ . . . . � THIS IS TO CERTIFY - _ _ .. - _ _ I tnai according to Ehe records of the�6ibson County Department oi.Heatth, ; . _. _ �_. _ ' ' ' " E: D�ricv L..avt y. N '_'"_ '_ -°' _ I � ^- 04�I�S '�P,TIN - _ _ ._ I .. -- - — •t -- -- �' . - Died on�05/94/1593 at 4:45 AM a� ,' s_.I � ' � -- ,_Residence� jc. .__ — ___ _ i °�>: - -: P . ' ', R-:R.?tt Box246. .� t'--. '-r - -.... � i �.: - .� Pr.inceton -IN_47670_ . '= t Age ai deain �._7 i=Years Sex= �._. . - � - - - I Marital Status'i::Married Color:=White -` �.z ra �� - r' Cause of death �Superior Vena Cava SynBrome, Cancer of Lang 'COPD � � _ � ' Y'1a.^t f� . ' . �i . .. Y.. - F �(�-rz i{f c . � _ " � :.� � ;.- ' � . . s��% ? -t� .. ��i.` . . . - n.—��" . _ . � - . .�iCT:'� : ' _ "�'" " , _ __ - . - . " . ' ," . rs.� � . . ' . Signed by: wF�._Robert Spear, M.D �� ��.,�'801 St. Mary Drive �b � -. - ,-�r Evansville IN 47715 �"' �t � .. �.. _ , . _ E� +r �� + - - -Place-of.burial;,.`Walnut Hi1I Cemetecy _ ° _ - _ _ -. or removal�'".�' _ - � - `'._ � � Ft. Branch IN 47648 �,'� _ ._.:'4�. . J s . : . . - . -' Da£e of_�bur�ial��"-05/17/1993 '�y+L�'"'� �j'_ "---- ° �, - . Funeral home: � q S E a L Stodghill Funeral Home 304 w. �ocast Screet Ft. ErarcS IM G7648 �igned bY-- _�/��'L?'r1.7G�.___� �/ti'� ___ ��i�son i,ounty_.ri=_altnyG✓-omnissioner 1{ECiJi'q2�f locaity in iiuoic No. 12 _Ga;tarr, City,�;ndiana p5/2U/33 _�;ro�7 - _�z.A � Page No. oa Fii�d: 05/20/13'?�