Death Certificate - Montgomery, Dorothy Alene_7/5/1994i . . . . ._ . . .v. . . . . . . . . . .
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� VANDERBURGH COUNTY IiEIlLTH DEPARTMENT
I Room 727 Administration 8uilding - Civic Center Complex - One Northwest Manin Luthe� King Jr. Blvd. i
' Evansville, Indiana 47708-1828 I
• CERTIFICATE OF DEATH REGISTRATION i
���jis �ertif ies, THAT ACCORDING TO THE RECOROS OF THE MEALTH �EPARTMENT �
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� NAME DOROTHY ALENE MONTGOHERY '
IDIED IN VANDERBURGH COUNTY INDIANA ON xaxcx oz YEAR 1994 •
ITIME OF DEATH O%:GS P.H. Mnairn� sTnrus MARHIED SEX FEMALE AGE 81 pACE WHITE i
OSOCIAL SECURITY DATE OF BIflTH 04 / 24 / 1912 i
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PLACE OF DEA7H DEACONESS HOSPITAI. �
• I' PRIMARY CAUSE OF DEATN GIVEN WAS CANCER-METASTATIC CANCER OF BREAST
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iPMYSICIAN OR CORONER J�ggy BECRERr M:D. AUTOPSY NO �
ePULE OF BURIA� OF REMOVAL OWENSVILLE CEMETERY;., "'"""ER NATURAL DISEASE •
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' FUNERALHOME HOLDERS FUNERAI. HOME,OWENSVILLE,IN 4%EJbSDATEOFBURIAL 03I05�1994
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CFATIFICATE NUMBER DATE ISSUED �
� OR VOLUME AND PAGE 00000530 03I1011994 I
' NOT VALID UNESS SIGNED d SEALED n ��
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� . V�NDERBURGM COUNTY r�EAIiX OFFlCER I
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