Death Certificate - White, Janice Rae_11/28/2011Pike County
Health Department
Petersburg, Indiarta
Certificate Of Death
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Name Of Deceaved JANICE RAE WHI'IE Iem( Number 0000261
Datt O%Death December 12, 2010 Sa FEIhiAI F
Age 71 Baok Nrunber 131
Race wbTE Page Number 72
Marital Status DNORCED Hour Of Denth
Cari.st O(Death
A) CEBEROVASCULAR DISEASE
B)
C)
P(aceofDeath RESIDENCE
City, StatelCounty Fil1ZELTON, INDIANA
Funerd Hame COLVIN FUNERAL HOME
Address PRINCETON, INDIANA
Issue Dnte January 07, 2f111
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Physitian/Coroner LOWRY COOPER, CORpMEp
�City. State PETERSBUAG, INDIANA
Plate O%Dispasition HAZELTON COEAMUNITY CEd1ETApY
City. State . HAZELTOPI. INDIANA
&�ria! Date Deeember 28, ZO10
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