Death Certificate - Overline, Clara Alena_8/23/2010�
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lIANDEFiBU�iGH COIiNTY HEALTH DEPA�iTMEIYT 08527
Evansville, Indiana
CERTIFICATE OF DEATH
�his �ertif ies, THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT
NunE CLARA ALINA OVERLINE
DIEDIN VANDERBURGH COUNTY INDIANAON NOVF�iBER OS Y� 200�
TIMEOFDEATH OJ:IS A.M. MARfTALSTATUS MARRIED SEX FF�WI�E AGE 68 MCE �ITE
SOCIAL SECURITY onre oF awrH OS/13/1939
PIACE OF DE4TH DEACONESS HOSPITAL
PRIMARY CAUSE OF DEATH GNEN WAS ���STI C AST�OQY�I�OMii
PNEUMONIA
PHYSICIANORCORONER MICHAEL TITZER, M.D.
PL4CE OF BURIAL OR REMOVAL HIGHI,AND t�[IQ�IORIAL CII�tETERI'
FUNERAL HOME SHORT—CUNNINGHAM FI7NERAL HO,�
CERTIFICATE NUMBER
AUTOPSY NO
MANNER NATURAL DI SEASE
DATE OF BURIAL 11�OS�200%
OR VOLUME AND PAGE 000O217J DATE ISSUED 11 � 13�Z00%
NOT VALID UNLESS SIGNED & SEALE�/�
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VANDE URGH GIX1NiY MEALTH OFFlCER
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