Death Certificate - Wienert, Geneva M_8/19/1996�.� .�.�.�.� .�.�.�.�.�.�.�.�.�.�.�.�.�.
i - 24917 �
I VANDERBURGH COUNTY HEALTH DEPARTMENT '
• Room 127 Administration,Building - Civic Center Complex - One Northwest Martin Luther King Jr. Blvd. .
1 Evansville, Indiana 47708-7828 � � '
• CERTIFICATE OF DEATH REGISTRATION •
� ZC�jis �ertiFies; THAT ACCORDING TO THE RECOROS OF THE HEALTH DEPARTMENT I
I! � NAME GENEVA M. WIENERT !
' DIED IN VANDERBURGH COUNTY INDIANA ON JANUARY 14 � Y�,R. �1996 � I�
! TIME OF DEATH IZ119 P.M. MARITAL STATUS �VZDOW SEX FEMALE AGE �4 - RACE h�ITE !
ISOCIAL SECURITY DATE OF BIRTH ����2��1921 I.
' PLACE OF DEATH ST. M.4RY"S HOSPITAL , I
• •
IPRIMARY CAUSE OF DEATH GIVEN WAS PNEUMOCOCCAL PNEUMONIA I
• . •
' I
• PHYSICIAN OR�CORONER ' � AUTOPSY - •
BRYAN L4URA, M.D. NO
'� �� PLACE OF BURIAL OR REMOVAL AOLSTEIN CEMTERY MANNER NATURAL DISEASE ' i
' ' FUNERAL HOME S�TODGHILL �FUNERAL HO`fE DATE OF BURIAL O1/19I1996 � I
• •
ICERTIFICATE NUMBER ;` � -
� � OR VOWME AND PAGE Y DATE ISSUED i
1 _ 00000100 O1/22�1996 I
. � NO7VALIDUNLESSSIGNED85EALED �.
' I ,�� 2.1�°�y,�i�� _ !
VANDERBURGH GOUNTY HEALIN OFFICER I
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