Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Death Certificate - Toler, Jonnie_5/28/2003
�. � • _. , d VANDERBURGH COUNTY HEALTH DEPARTMENT 2OH22 Room 127 Adminisfrafion Building - Civic Centei Corry�lex - One Ncrfhwest Martin Luther King Jc Blvd Evansvil/e, Indiana 47708-1828 CERTIFICATE OF DEATH ��ji8 �erti�ies, THAT ACCORDING TO TH[ R[CORDS OF THE HEALTH D[PARTM[NT NAM� �orrrrze u. ToreR DI[DIN VANDERBURGH COUNTY �NDIANAON �+Y 1� �EA� �003 TIM[OFOLATH lO:OCJ A.M. MARITALSTATUS ��IEU SE% MA'LE AG� J3 �C� WHII�F. socw�s�cur�irv DATEOFBIRTH 01/06/1950 VIACE OF DE-ATH llEACONESS HO;PI7'AL PRIMARV CAUSE OF DEATN GIVGN WAS GARUIOCiENIC SHOCK ACU7'E ANTILATF.RAf MYOCARDIAL INFARC7'ION �insicinNOr+cor�oNm SATYAM TA1'INENI, M.U. r>i.nce or ounia_ oia iv[MOw� EVANSVILI.,Ii CRFMA'1'Of2Y ruN�r+n��+onne COL�/IN E'UNERAL HUMG, PRINCEI'ON,IN CERTIFICAT[ NUM(3[R AUIOPSV NO MnNNm NA'1'URAL DISEASE Dn1EOFBUfiIAL 05/27./2003 ORVOIUMGANDPAGC' OGOOlOn7 DAT[ISSULD 05/21/7.003 NOT VALID UNLESS SIGN[D 8 S[ALED � �r.F.'K Q. 'ii ?%Q�.%1'�.eL�o.�r,?,�. dj ....._S._.. ...._....... ... _...... _.__...-_... MD. V�NDf:f111Uf1G11 COIINIY 11[AI]II OFFICf:H I