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Death Certificate - Rexing, Bernice_9/23/2009� �Q)11X,�.C�' , 419�.v�-t'�- � � VANDERBURGN COUNTY HEA�4l� DEPARTMENT 2 4 g 4 8 � Evansville, Indiana — - -- - � CERTIFICATE OF DEATH ��jis �ertif ies, THAT ACCORDI\40\E REGORDS OF THE HEALTH DEPARTMENT NnrnE BERNICE pt. REXING DIEDIN VANDERBURGH COUNTY INDIANAON ?:oti-���mF� i� TIME OF DEAiH O�: �� A• �i. MAflITAL STATUS 1tj�RIED SEX FFJ)L�.LE AGE 6S SOCIAL SECUFITY DATE OF BIRTH j 1�j��19�}� PL4CE OF DEATH ST. �LARi � S HOSPI T.�aI.: PRIMARY CAUSE OF DEATH GIVEN WAS SEPS I S . Ph�EtJ�tOV I r1 [JRIii.ARl" TF�.CT INFECTIOti PHYSICWJ OR COROt�'ER RUEERT CUTRELL . 4i. D. PLACE OF 6URLAL OR REMOVAL SZ . J.AD�S CHGRCH C`•E.h�TEi I FUNEW�.L HOME CERTIFIC.4Tc NUMBER OF VOWM.E AND PAGE P? ERI:E FL?vERAI. HO�� , AUTOPSY LO ��+R zoos ancE WHITE MANNER �;aTL'F:�I, DISE.�ISE DATE OP BURIAL 11 � 19� 7OOFi DATE ISSUED �u�C�_'-!61 1���!�����v NOT VALID UNLESS SIGNED 8 SEALED � � ����� �ill/ M.D. V.W DERBURGH COVMY MEAI-T�'� OFFICER