Death Certificate - Whitehead, Beulah Mae_10/4/2002: -.
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GREENE COUNTY BOARD OF HEALTH
BUREAU OF VITAL STATISTICS
CERT=FICATE OF DEATH
TFiIS CERTIFIES, The official records of this depart�nent show the following
P{ame BEULAiI MAE WHITEHEAD Age 80 YR Sex F Harried X Single
Widowed Divorced
Place of Death GRE�NE COU,�Y, INDIANA Date of Death MARC?i O5, 2002
• Time o£ Death 05:45 Ahf
Cause of Death CONGESiI� I-�I�RT FAILURE
ARiERIOSCLEROTIC CrlRDIOVASCULAR DISEASE
Siqned by LAU TRAN, M.D. Date of Burial M�RCH O8, 2002
(?hysician,.Coroner, Health Officer)
Fl.tneral Ho�rs COLVIII FUNERnL HOME, INC. Address PRIA`CETON, INDZAriA
C�aR�e of Cemetery MAPLE HILL C��TERY Address PRIi7CET0iv, ZNilIANA
Issued MARCH 27, 2002 Filed MARCH 11 2002 Recorded Book No. D-7 Page 123
SEAL
Sicmed � ` P f"
Greene County, In . Healt O:ficer