Death Certificate - Memmer, Beulah Lorene_7/20/1994D� 5 ���
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' VANDERBURGH COUNTY HEALTH DEPARTMENT f
. Roorrt 127 Administration Building - Civic Center Cornplex - One Northwest Martin Luther King Ji. Blvd. .
IEvansville, Indiana 47708-1828 I
• CERTIFICATE OF DEATH REGISTRATION i
��hi8 �ertiFies, iHnt ACCOR�ING i0 111E FECORDS OF Th1E HEALTH DEPARiMENi •
!INAME UEULA❑ LORCNE MEPiMER !
DIED IN VANDERBURGH COUNTY INDIANA ON JULY is y[qq i���� !
iTIME OF DEA7l1 ���:45 A.�i. MAf111AL SIANS Wl�%U%� SE% eCr�ALE AGE �G nnceWI1:LTC i
ISOCIAL SECURITY DAiE OF BlRill 04I30�1918 I
IPLACE OF DEATH ST. MARY' S 11USYITAL '
' PfiIMARY CAUSE OF DEATH GIVEN WAS RENAL PA'LLURE I
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• PVIYSICIAN�OR�CORONER STANTON SCINLTZ� M.U. AUiOPSY NO �
ir�nce or our�in� on neMOVn� PROV'I.DENCE CCPff'CERY MANNER NATURAL U'iS6ASE I
IFUNEflAL NOME CORN=COLVIN PUNERAL IIOME DAIE OF our�in�07I1511994 I
• �
CERTIFICAI�E NUMBER
! OR VOLUME AND PAGE OOOOLSO? DAIE ISSUED 07/19�1994 i
iNOT VALID UNLESS SIGNED R SEALED !
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RNDEflBORGII COUNLY HERLiI FICER � '
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