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Death Certificate - Robinson, Fern_3/19/2003.-.�'„'�^,( � - _��_ � •'_ ��_ -� _ � - - !�j - Y _ �: :-- ,y, -_ �i � 'i � _ -.',1 :i�_ 1� � �Q5-��s►I-� �� � ��� ���,�`� �•ia�t 19 2003 ;,UDITOR � -:- VANDERBURGH COUNTY- HEALTH DEPARTMENT . 0973.9 ' Room 127 Administration Building _ CiJic Center Complex �-. One_Northwest Martin Luther King Jr. Blvd. -. _ - ,.-__ -_ _. = EJansville, Indiana 47708-1828 --'= - _ -- - - _ -- � CERTIFICATE=! OF DEATH _REGISTRATION �- :- :`- _-: _ � �I�IB- ��e.rtif 1eS /�� _=THAT ACCORDWG.70 THE RECORDS OF THE HEALTH DEPARTMENT _ - _- _ "-- _ .' __ _ -- : - __ ._ . . . . . . NnMe== FERN ROBINSON DIEDINi�.'��' ��� � �� - -- VANDERBURGH COUNTY iNOinrinoN . SEPTiMBER 24 reAaT1996 -:: .__ TIMEOF.�DEATH . iZ:SG A.M.� � MARITALSTATUS FtARRIED �_�sex , FEMALE nce 84 .�ruce.�H"HI7£ --.. _.., _ _ _,.... _ - - . - --- - - - -- - _ -" - onTe bF siarr+ 10 / 2 2 1 1911 `� socini secuain _ -_ _ PLACE OF;DEATH DEACONESS HOSPITAL � � - � � �� � - - ' ' ' ' ' '' . _ . . - . . _.. - . . PRIMARY CAUSE OF DEATH GIVEN WAS � H]PERTENSIVE CAFDIOiIY�PATHY . ' � - CONGESTIVE HEART FAILURE - _ _ _ _ RESPIR4SORY"FAILURE _ _ PHYSICIANOR.CORONER- �CHESTER BURI�ETT _ M•D. � . - " AUTOPSY NQ - . ' - � — PL4CEOFBURIALORREMOVAL �UMEE�CEMETERY.-OFE\SVILLE.IN- MANNER j*�TURAL DISEASE- _ �� _ [ _ . .. :: . . _. .. __ . _. . ' . _ FUNERALHOME HOLUERS FUNEP.QL_HOME= �_ __ � � , � � oareoFeuain�. 09_127_I_1996�_- _ CERTIFICATE NUMBER = I � � = � - � � � _ ' � ' OR.VOLLME AND PAGE�� � - - � �- - DA7E ISSUED 09 / 26 � 1996 -, _ =.:00001753. - -- , _ li _ EALED.- . _ _ � .- . n � ��- '_ � � � '_ �' � �I .. . ,- -N0 _ ��/��q' _ T VAL1D UNLESS SIGNED 8'S - '_ i �. _ ' - . . . _ /� �i��.__ ' - - - t _ - _. ?i=�i�:_ i; =a� 4 �-.. _ � _'�__ , . ' VANOEABURGHCOUNTYH OFFICFA_t;- _' .i-.�fl�l�--�.:�' _. .. - - . 1 �'�. . _ _' .� " "�' � _ " ""_ �. !'-: - � . 1'r ilq)_� �:�-. �__ . .__ �_-.�i�' �C_1'-= �-��--' -- • � -, -- .. . . -.. _ . � � . .. . _ . ^_ ... '� tl : . . . .. ' . .. .. • : � � __ L=.. "=1:-- i '1 Ir tL.^ •i �