Death Certificate - Welborn, Mary Alice_11/8/2006VANDERBURGH COUNTY HEALYH DEPARYMENT 02848
Evansville, Indiana
CERTIFICATE OF DEATH
��jis �ertY f iee, THAT ACCOfiDING TO THE RECORDS OF THE HEALTH DEPARTMENT
NAME h1�KY HLIi:E WELBuRIv
DI[DIN VANDERBURGH COUNTY INOIANAON aPRZ� z�i VEAR zooa
TIMEOFDGAfFI 0�.:49 P.M. MAHITALSTATUS DIVORCEU SE% FEMALE AG� 92 �A��
SOCIALSECURI7V 309-24-342.0 DATEOFBIR7H 11/.�Z�.�9��
PLAC[ OF DLA�H DEA�ONESS HOSPITAL
PRIMARV CAUSE OF DEATN GIVEN WAS ACUTS CORONi�RY TFIROMBOSIS
ARTERIOSCLEkOTIC FIEART DISEASE
Pi1VSICIANORCORONER JFRRY I,IKE, D.G.
PLACE OF �UF71Al OR REMOVAL SUC73"r,'T MEMGRIAL PARII
FUN[fiAL HOME i;AMPBliLL FUNERAG HOME, i;Af2MI , IL
CERTIFICATI NUMB[li
Of7VOLUMEANDPAGE OGOOO�Z3 DATEISSUED Zl/OH�ZOOb
NOT VALID UNLESS SIGN[D R S[nL[D
—J VANOEli�UIiG�COUNTV MLALTI� !,/ V .0.
. �
AUTOPSY NO
MANNER NATURAL LISEASE
DA7EOFBURIAL 05/01/2002
�'ILED
NOV 0 8 2006
�a ,��.
GIBSON C �NTY AUDITOR
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