Death Certificate - Walters, Amanda_5/13/2002-. ._._.. - �- �--
VANDERBURGH COUNTY HEALTH DEPARTMENT 10993
. Room 127 Administration Building - Civic Center Complex - One Nathwest Martin Luther King Ji Blvd.
� , . , . Eransville, lndiana 47708-1828
` CERTIFICATE OF DEATH REGISTRATION
��- ��j.i8 �ertif ie8, THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT
.
ruME AMANDA WALTERS
, DIEDIN VANDERBURGH COUNTY INDIANAON DECEMBER 28 .,�, 1999
TIMEOFDEATH 01:15 A.M. .�R,LLSrnTUS WI�W sex FEMALE �E 75 �cE WHITE
SOCIALSECURITY DAiEOFBIRiN 05/04/1924
PLACE OF OEA7H $Z01 SPRY ROAD
FRIMAFtY CAUSE OF DEATH GNEN WAS CANCER-METASTATIC NON-SMALL CELL
LUNG CANCER
PHVSICIANORCORONER EDWARD P. FOX, M.D AUTOPSY NO
PLACE OF BURIA� OR REMOVAL ST. JOHN' S CEMETERY,NEWB(1RGH MANNER NATURAL DISEASE
FUNERALHOME ZIEMER FUNERAL HOME — EAST on�aFauaw� 12/31/1999
CEFiTIFICA7E NUMBER
ORVOLUMEANDPAGE 00002494 on�issueo 12/28/1999
NOT VALJD UNLESS SIGNED 8 SEALED
ij� Q.�-�'c�4.�f-�"(` � � _ �n'���.
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VANOERBURGM COUMV H M OFFIGER
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