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Death Certificate - Ping, Mary Beth_8/20/2009I � � / VANDERBURGN COUNTY lIEALTH DEPARTMENT 2 6 9 8 3 Evansville, Indiana CERTIFICATE OF DEATH ��ji8 �ertif ies, THAT ACCORDING TO THE RECORDS OF THE HEAITH DEPARTMENT Nan+E MARY BETH PING DIEDIN VANDERBURGH COUNTY INDIANAON JANliARY 08 Y� 2009 TIME OF DEATH O�J: SO P. M. �RITAL STATUS MARRIED SEX F'FMALE AGE 7% FACE WyITE soan� sECUain DATE OF BIRTH 12/31/1931 PLACE OF DEATH DE.4CONESS HOSPITAL PRIMARV CAUSE OF DEATH GIVEN WAS CORONER-CEREBRAL ANOXIA I NTRACRtW I AL iiEAfORRHAGE PHYSICUWORCORONER �tE E. GROVES. CORONER PLACE OP BURIAL OR REMOVAL OWFr1�SVILLE CEMET�ERY FUNERALHOME HOLDERS F[JNERAL HOME. OWINSVILLE,IN CERTIFICATE NUMBEfl AUTOPSY NO MANNER ACCIDENTAL DATE OF BURIAL O 1� 1 i�2OO9 OF VOLUME AND PAGE DATE ISSUED 00000058 O1/1S/2009 NOT VAL1D UNLESS SIGNED 8 SEALED ���'l � ��4� � V M.�. I V ERBURGM COUMY HEALTM OFFICER