Death Certificate - Prior, Melody Elaine_4/12/2010R
VANDERBURGN COUNTY HEALTH DEPARTMENT 3474H
Evansville; lndiana
CERTIFICATE � OF DEATH '
�his �ertif ies, THAT ACCORDWG TO THE RECOROS OF THE HEALiH DEPARTMENT
N,u�E 6IELODY EL.4INE PRIOF
DIEDIN VANDERBURGH COUNTY INDIANAON J�zr i3
TIME OF DEATH O 1: 4O P. M. MqftRAL STATUS �`�RI ED SEX FE�iALE pGE ��
SOCIALSECURIN � 11/0�?/1951
DATE OF BIRTH
PLACEOFDEATH DEACOVESS HOSPICE C.ARE CENI'ER
PRIMARY CAUSE OF DEATH GIVEN WAS -'�TAST�TI C LIJNG CANCEF
��, ?009
w,cE WHITE
PHYSICIAN OR CORONEfl QUENI'IN E�tERSON, ht. D. nuroPSV NO
PLACE OF BURIAL OR fiEMOVAL �L�[1MEE CEh�TERI MANNER NATURAL DI SEiSE
FUNER4LHOME HOLDERS FLitiERAL H0,'� OF GIBSON CO[7yT1',I\' DATEOFBURIAI Oi/16/2009
CERTIFICATE NUMBER
OR VOLUME AND PAGE OOOO I 31 O DATE ISSUED
07/16/2009
NOT VALID UNLESS SIGNED 8 SEALED
M.D.
�. _ . __".___