Death Certificate - Seiffertt, Helen Irene_4/10/20061�.� �
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lOANIDERB�JRGH CO�JNTY 1�lE6ALTH DEPARTMENT 09511
Evansville, Indiana
CERTIFICATE OF DEATH
'��aV �`CbH¢�f�� � THAT ACCORDINO TO THE RECORDB OF THE HEAl7H DEPAR7MENT
w,ME HELEN IRENE SEIFFERTT
DIEDIN VANDERBURGH COUNTY INDIANAON
TIMEOFDEATH 04:05 P.M. �iTUSrATUS WI�W
SOCIAL SECURITV
DECEMBER 13
sex FEMALE �E 86
DATEOFBIRTH 04/14/1917
PLACE OF DEA7H �RITAGE CENTER
PRIMARV CAUSE OF DEATH ONEN WAS CONGESTIVE HEART FAILURE
DIABETES TYPE II
� PHVSICIAN OR CORONER AZIZULLAH MEHRZAD, M. D.
, PLACE OF BURULL. OR REMOVAL LIBERTY CEMETERY, CYNTHIANA, IN
FUNERALHOME BROWNING FUNERAL HOME
CERTIFICATE NUMBER
OR VOLUME ANO PAGE i OOOOZGZB
AUTOPSV J�jQ
VEAR 2��3
w,cE WHITE
MANNER NATURAL DISEASE
DATEOFBURIAL 1z�1'J�Z003
DATEISSUED 04/10/2006
NO7 VALID UNLESS SIONED 8 S FLED
VqND BUR�HGOUNTYHEILTHOFFICER � �M.D.
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