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Death Certificate - Sensmeier, Gloria_3/22/2002� _. ; � �p l - oc��3a - o� .. VAWDERBURGH COUNTY HEALTH.DEPARTMENT � O11`494; �; : ;, : Room 127 Administration Building - Civic Center Complex. - One Northwesf Marlin Lufher King Jr. Blvd. l� °I� " - Evansvil/e, Indiana 4 7 708-1828 ' " " , , ' ; I�'�i.i CERTIFICATE OF DEATH ' i: :,.. , I, �� C L�L f L Q� ��� THAT ACCORDING TO THE RECORDS OF THE MEALTH DBPARTM[NT � ��II � L� �. , �" . �,. � � � �i G � , , � _ � ; i � _ �� if i 1! NAME LORIA�� SENShtEIER� � � � �� ' �• � , • �� -. � �� ��� � � ���,��� , .. ., , , , � I - J .i �h:_ �: . ,. ,.. ,,_:::I; �-1,=-.:11-�II o�EO�N VANDERBURGH COUNTY INDIANAON ' JUNE 26 i'i, :!�EAR;iOOl'�:; Ii--�i= i , , ...i� li II �i � �': � li 11- �i I{ - , TIMEOFDEATH lO:OH�P..M. MARITACSTATUS �RIF,D . SEXF�'E�• �AGE. 59 � 'RACE,�I�� '' „ .� �� . .'� . ,, �. .� _ i. . . ' , . . ,. :� 1 � � � i�'� 'I�.'�j'�� �� socinisecuain� „ „ � . onreoFewrH �11/�17/1941 � � ; �'r i', � I�.._ � ST. MARY'S MEDIC '; r , ; . , , . ii �. � . � � i� �.i ' . .. .; ,.. , i�- 1��.' I � �.i� I�. I' I�L"+::.' . PLACE { oFOenrN, , Al, CEMCER ' - � .,i.,s'�:-H'-1t - ' . .� .. �. . �. . ... .: I i �i �.I. �I �..i �I. ' , � PRIMARVCAUSEOFDEATHGIVENWAS �SPTRATORY'FAILURE ' � . �� � �'._I� I`^�_ , : CHRONIC OF3STRUCfIVE LUNG DISCASE ' i .. ,� . . .. . , , . :� �,� . ii.i� �I � . . . .. . .'. � �� . . , . .. . �, ,i' .. �. '.: .. � I�.� I,' li'',vil— „ .. , . . :. �� i =fl , , ., , . ; ,I . , , , �, ���'I :. � PHVSICIANORCORONER .TAMES KRUEGER, .M.D. . . � . � ,. . � nuroasv.NO� .. =�'��� ��' ��ii ����!; � .� ,� , , '. �. �. ,. � .. I: . ' .. � .� I1 � ., , i�" �'1�- PLACEOF�URIAIORREMOVAL NOHLE CIIAPGL, ELBERFELD�IN,,,��;�. ,,, �,�M��. .. ��� �.,':f!�!��:: �; . . � . �I ' ' '',"�.'i':I�" ilr"'.I ANNER NATURAL DISEASE!l=;=�N��= FuNean�HOMe , �.LAI:1B—BASFIAM FUNERAI;'IIOME „' , .i ,. .�� i. i. . � .. I .. ' CERTIFICATE NUMO[R 1' ' ' ' ' " " ORVOLUMEANDPAGE OOOOLZH4 � . , �.� ,. . . , . . � i ! .. ,t:._�I t? il . ''.DATEOFBURIAL'06/30/2001i.�� ii I�„II . ' ' . i '� ii � �i� i� ' ii:= �: � � ,,' 'I '1 ;.II DA7EISSUED p�/06/200] �; �'"' i� I�"�I . . �i ! il i� I� t�-C _ . � . 'i :.�,. -� - I NOT VALID UNLESS SIGNED 8'SEALED � f! ri � I�� f� i �� ,9c�.�, a . ���.�.��o �,��rJ � ,