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Death Certificate - Sage, Euleta_11/27/1995
o►b -ooa^�o-o� � I . . . . . . . . . . . . . . . . . . 20816 • VAP1��33QURGH COU1dTY H�!!!.Tl�J D�QA�RYNAEldT � Room 127 Adminis�raricn Building - Civic Center Complex - One Northwest Martin Luther King Jc Blvo. � Evansville. Indiana 4 7708-1 828 • CERTIFICATE OF DEATH REGISTRATION_ � ' ���ji8 �ertif ies, THAT ACCOPDING i0 THE RECORDS OP THE MEPUH DEP/+RiMENT � ' NAME ELZETA IMOGG�E S:1GE � • DIEDINVANDERBURGH COUNTY INDIANAON oc?OBEF oc ��=�A ����; ITIMEOFOEATNO/:O3 :i.��. MARITA�STPiUS )]�R[t7EU SE% FE?LALE AGE (�S RACE{��{j7t I$OCIAL SECURITY onr=_ eF eiarN 111?111926 fPLACE OF DEATH H�Ei I}Q�\ B�9T1ST FIUJPT_TAT_ � • ' PRIMARY CAUSE OF DEAiH GIVCN LVA$ CHFO\•IC LL'�G DISEASE-ST:�TOS aSTH`La?ICGS . VIR4L tiPPEk RESPIR420Y.Y IVFECTIO\ ' • PHYSICIAN OR CORONER ���FREY' SELBI . M. D. '°�T�PS� \'0 iPLACE OF BURIAL OP. aEMOVAL �L�F.TT� CE`+.ETEkY. GLEZE�(.!� �MFNNEn �,�TLR.�iL DiSE:15E � FUNERAL HONE CORV-COL`rIV FO\�E?t_1L HO?fE DPiE OF BUA�AL1O�O/IL�J7� i• CEflTIFICAiE NUM6ER OR VOLUME AND PAGE DAic ISSUED IOOG018Gti 10i1?/199� � NOi VnUD UNLESS SIGNED 3 SEALED � ��Q. '����- • - ' VANOEPBUPGH COUNiV H l' OFFICEF •��� �������� �������� �������� ����������