Death Certificate - Myrick, Dorothy M_6/12/2003f �
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VANDERBURGH COUNTY HEALTH DEPARTMENT 21198
Room 127 Admrnistration Building - Civic Cerrter Cary�lex - One NorGnvest Martin Luther King Jr. BNd.
Cvaiuville, Indiana 47708-1828
CERTIFICATE OF DEATH
��ji� �erti�ie8, THAT ACCORDING TO THE RECORDS OF 7HE HEALTH DEPARTMENT
nuMe DOROTHY M. MYRICK
DIEDIN VANDERBURGH COUNTY W�,,,oN
TIMEOFDEATH 09:03 A.M. ��TUSTnrus �RIED
SOCIAL SECURITV
auce oF o�,ry ST . MARY' S MEDICAL CENTER
PRIMARY CAUSE OF D'eATH GNEN W.�S CARCINOID TUMOR
PHYSICWJORCORONER MICHAEL G. TITZER, M.D.
MAY 24
sex FEMALE �E 68
DATEOFBIRTH OS/OZ/1935
AUTOPSY NO
Y� 2003
rucE WHITE
PLACE OF BURWC OR RENGVAL EBENEZER CII'i. �HATFIELD � IN MPNNER NpTURpL DISEASE
FUNERALHOME ._ TITZSR FAMILY FUNERAL HOME DATEOFBUFIAL OS�2H�Z003
CEF�IFICAiE MIMBER
OR':✓OLUMEPNDPAGE OOOOSOHB DATEISSUED 05/30/2003
' ' '� NOT VALI/D� UNLESS SIGNE� 8 SEALED
- .. - . " �,.vrua Y,� �l.+�.,ne�El�t��?i2 r� e.�o.
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VPNOEFBUHGM CW MY HEALTH OFFGER
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