Death Certificate - Watkins, Martha J_8/21/2003�
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VANDERBURGH COUNTY HEALTH DEPARTMENT 2 5 9 6 3
Room 127 AdminisUation Building - Civic Center Car�lex - One Natinvest Martin Luther King Jc Blvd.
E✓ansville, Indiana 47708-1828
CERTIFICATE OF DEATH
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WATKINS
o��o�N VANDERBURGH COUNTY INDIANAON AUGUST 01 yEqq zoo3
TIMEOFDEATH OH:ZS A.M. MAFITALSTATUS DIVORCED SEx FEMAGE qGE 80 RACE �ITE
SOCIAL SECURITV 308-22-7034 DATE OF BIRTH 01/10/1923
PLACEOPDEATH NORTH PARI< NURSING HOMF.
PRIMARY CAUSE OF DEATH GIVEN WAS �EMIA
ELECTROLYTE DISORDF.R
PHVSICIANORCORON61i PE'PER STEVENSON, M.D. nuroPSV NO
PIACE OP DURIAL OR REMOVAL COLUMBIA WHITE CHURCH CEMETERY MANNER NATURAL DISEASB
FUNERALHOME COLVIN FUNERAL HOME, PRINCETON,IN DATEOFBURIAL 08/04/2003
CERTIFICATE NUMBER
O(7 VOLUME AND PAGE 00001815 DA7E ISSUED 09/09/2003
NOT VALID /l�1NLESS SIGNED 8 SEALED
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_' __✓ _ ___—'—"__'_ _—. M.O.
VnNO[Rf1UBG11 COUNT V HE�LTN OFFiGER