Loading...
Death Certificate - Lamey, Angela_5/13/2013 INDIANA STATE DEPARTMENT OF HEALTH: I '+ 1 J U U "••..• CERTIFICATE OF_DEATH • Local No 001672 - EDP.No 000000217173 state No 039596 ( :n .r .c:;nNave(Fsa1,4:ad'e.laul la. Mactnta:m rJ lrna*) 2.Se. 3 Tr:e G Dead I Da:.0 Dear IU»]a men: I iANGE-_A 8 LAMEY SOLLMAN I FEMALE 10:10 PM 08/31/2011 _ 5...G...::-!::::12,:p...-- e. r'a :an•Yn I Co Unon I?is I EC.Ihtler 1 Morel GC UY.ei 1911 I fie.Under 1 n4. EVANSVILLE.IN I wfa to It Den, area In A nas3al :Oa II Death Occurred Sorn-at.re Other That A Hospral D Yea No 0 • O 1r .. 0 0 11."-'"x rani-17 D Deana nor. 0 NWirc HaneAenntem Core Frectify E Agent:Devnmen Oraeeea 0 oena on mai 0 O?e.(Sxely) I F' t.-Aiiyn ii No enstwors One Erect an:note) EALTHSOUTH DEACONESS REHABILITATION HOSPITAL "I•s'+: -1,0 10A-,.57.72.4v 20 Cc** _ 1I] Caee,.OlOeaa .4.urns Sr.'.uiex d De an 1 0 ursec0 Waned.Ek.s.Separates 0 D.a:r I -EVANSVILLE.IN 477;4 . •• IVANDERBURGH .r.4 :0veea e?#"0 eveurnec Otoao.r. I • 1- v, m%fist.na.ne — • IS, tlenNej tie\fawn'au name IS. Daueeve Usual OS.grvv ,. a eta D aa:se.tsine'dr. _ - I SECRETARY " c MANAGEMENT I II—Pti.O.rce.Sine "'- :23 CDCn d w,y :e: Cuy TO _ -•�NDIANA ___ • GIBSON HAUBSTADT S.s, Fin.e ro■llartw .,tic eP No ` 18e.Z,oCale 18 Ib<e C'ry tcr. I )3048 EAST WARRENTON ROAD . I I O Yea Y.c 47639 r:.=vx—ra Cm<ra, :] Dec ecru 01!usoesc On7n TI. pxeoents Race _, -i I HIGH SCHOOL GRADUATE OR GED I ICOJ.IPLETED - NOT HISPANIC White i 22-r 3T.Ni.tfays(44s.1.N4 e.last) 23(a1./a Nene(F• l,Mode Lull ma.Nantes Maaen'_an Naze I MARLIN SOLI.MAN ELJEAN SOLLMAN BENKERT ee 7r-7m7---_ 2u RelrmsM:C Oessxn t is:.Maato address (S'+•e Anc MrDeo,Cry.Slate.ZC Cod ) ! IDANIE-LAMEY • _ SON 1748 EAST 1200 SOUTH. HAUBSTADT,IN 47639 ' 1 ----_- 2>.Puce Or()spouts 1-::4v::n Eno244r. 294 Dace O(Otxvvn(Herne CI C..ne:era.Cralavl.CC•-to Race( ?Sc 1 L0CSwn-Gty.:ctrl.A::513. I I,0 A::.:D CHesa:m D Do-.des D E:Num 1 !0•r..:y:•on S1a,e :D Orss (Steen:. ST JAMES CEMETERY HAUBSTADT, IN i ( Yni CU'ml Coaacts.0 '- -C2a Naps LV Cct rto:cast 0:Essen Fa-Jet _ 2:a F.ad rote Stine nsre: t IWei 0 No I 1 HOME INC.I ISTODGHILL FUNERAL HOM_ IN 500 E PARK ST HWY 168. FORT BRANCH. IN 47648 FH10900013 I 12Tc eb Ware:treat Sen:vtcrosea 27c.license the:de(C Licensee) J I !ROBERTS STODGHILL . BY ELECTRONIC SIGNATURE F001024378 1 ---- Cause Of Death (See Instructions And Examples) A: o.:na:e I 1 2t' I`.aa I Erect Pie Lra.n0lTs efts -Diseases.rises.Of Condkati:ro-real Dreary Caused Tne Dec. Do Not E no IennetaI E ems Ineval. Onset 1 1 St:n As Cs.o:ANev.Fesov :sy Asrctt.Or Vererclar F,praat tn!4udSno.uss Inc Elubga_Do NMM A:nee):e.Enter Only One Ca,se On To Dean I A Is:e Add)..Melt Lela s II Neves sag ONE HOUR AND ttrnot•:Causefinal D.seas%Or C:.cao Res••-:ry In Ders} A ACUTE IAYOCARDIAL INFARCT ION AND VENTRICULAR FIBRILLATION -5 MIN I .. . >...n.a.,••••••••en ISe:-,e,u}TN;Ca'ccot,. It Any.Lea:rS in The Cense:Ride On B 5....3 s.•Cam.....on —_-I I In::. Enl..l:tl Usrnync Cause(6sease Of L-levy Trust tua:es, I TA.i..4eaa Ref..apin De=n)Last e. I 0 I Ioe1T-Cao Cthe.`:9I4cJn.1-. 4p'1r4'n:,:VJ.nt.•I,Oeat.But No Resj:rc In The'Jrcenyuq Coosa Gran In Pan I 129.Was An Lla%s,P.ior.G7 0Yef 0.No i1 \'hate 4:aofl•-cnt A•:.t TC CO. 'l:'in:_.-.s Ce CIZA, 0Tes 0s, J I I V1 MONAR(EMBOLISM D. IcoacwUseCrvace1oDear/ 32. It:ride 33. Mann.Of Dent: 0 n P.m.ray u an O D1mean at•-a...au-.c a. nu p...-as. ..,ocsve 0.. .r. r...r....... a, u>.. 3 Newry anancoa 0'coon Optorc Imes:cnos I _ 0 .. ...e...r..oo-.1.....s-.c..- 0.....-e--....a.•.nes.n........ ❑Ssexle O Cass,:or Be DeamW.a I_ k]:1'.Jl lryrr Pt:mw ltr'(wl S :me glgvD • b. Rau elu.4y(EC.Decedents nae.Cons:newn Ste.Si tints a;V.maed A®) - 'I a: Nth'I saes,__ _-.i_ ID Yes 0 no I -- Ira Cay Cr lam I 12e Suess t n.rce. I lac AN No 1 :SO ZO Ca I I — I I { :+i*;:s•ae aNs;'xc.rnc Fao.�:rwaadrnti py.Q ..am Dom.s..... I I ASHOK KUMAR DHINGR BY ELECTRONIC SIGNATURE I a0 der-y.x Maas. n,sdan Cr*/ Dr... .0 Hear..x.er I Pr:ixv 4e:.4s MIA,Cole Cd:ends Cc-dyed Cruse Cr Dean 44.hens.NsrDe •5 Ca:e Cen:eo IASHOK KUMAR DHINGR . 4100 COVERT AVE. EVANSVILLE. IN 47 714 01041108A 09/11/2011 I v.al.:r.a.esse,..znrrer I .. •A.a,: I l is,..vrswva_dda ties'Ora,. 49 For Re9isuar Ony •Dan reed IMX VDayreal ! !RAYMOND W. NICHOLSON.JR..VIA ELECTRONIC SIGNATURE I a SEP 12 2011 i I--- __ AMENDMENT TO CERTIFICATE OF DEATH(ENTRY OR ORIGINAL) I ' SL'-Tads 5•:n hair:::rON:ESinIE •--sscar Se:v4y°is Dei.(:r epnale- ;ctn.-5 130 agty Si otter to pursue responsoty. 01sdtoAJe is YDLYaay arc me,e nd ne nO petty lOt it 1101 NRA-20 d(:> Eros) 1•s - -- - - .... . .. . - ; 0/y op If AITERED OR ERASED`._NDT;VALID iDU UNLESS CE. . ...,BY HEALTH DIDARTMEIMI Q..) R.) ca Si) r Q\ y, A, so w t,, W (jj o cA r O o og �tit z 0 o , 1 © 0 3 D w Q o Q g o G w ^ D (4 -c O- OO Sb k) t) --C- -c- -r --c-- J