Death Certificate - Nelson, Dorothy L_3/26/2010� -
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VANDERBURGH COUNTY NEALTN DEPARTMENT 216 3 4
i Evansville, lndiana
� CERTIFICATE OF DEATH °
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�his �ertif ies, THAT ACCORDING TO T�i� RECORDS OF THE HEALTH DEPARTMENT
rv.nnte DOFOTHl` L. NELSON !�i i' -
DIEDIN VANDERBURGH COUNTY INDIANqON ��osr ?=� Y�,R �oos
I TIME OF DEATH O�:�O P. DI, MARRAL STA7US 11�I DOW
SEX FEh�,g AGE 8/ RACE 1iTIIIE
SOCIALSECURIN . DATEOFBIRTH �J�j$�j9�j
� PIACEOFDEAT}i DE:1CO.�iESS HOSPITAI,
( PR�h1ARY CAUSE OF DE4TF{ GIVEN WqS CAFONEF-CEF��ICc;L SPIA'E INTURY
i COMPLEX FFACTUFE THROUGH C-2
� Fr1LL
� PHVSICIAN OR CORONER '
DONAI,D ERI� CORONER AUT�PSY \'0
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PL4CE OF BURIAL OR REMOVAI PROVIDENCE CEI�'IETERY MANNER
� .�CCI DE'VT:1L,
' FUNERALHOME j„�,(B_��SHPu:i F[.!1�'[�j[, HO�
IE DATE OF BURIAL �(�/Ob+/?oo�,
CERTIFICATE NUMBER
OR VOLUME AND PAGE
0000165'J DATE ISSUED 09 �s �
/ /=005
NOT VALID UNLESS SIGNED 8 SEAL D
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. . .. . - _ _ VANDtqeURGH ODUNry HEALTH OFFICER M.D.