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Death Certificate - Mobley, Wima J_10/9/2013 �:' 1 VAND ERBURGH COUNTY HEALTH DEPARTMENT - 19057 Evansville, Indiana P CERTIFICATE OF DEATH Zrjis Let tifte5, THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT ■ . W NAME WI LM.A J. MOBLE1 ;` DIED IN VANDERBURGH COUNTY INDIANA ON MAY 19 YEAR ?000 4 TIME OF DEATH 06:-}3 P.�1• MARITAL STATUS DIVORCED SEX FEMALE AGE 64 RACE\4HITE tr .P DATE OF BIRTH P PLACE OF DEATH ST.MARY'S HEALTH / WELBORN CAMPUS SUBARACHNOI D HEMORRHAGE PRIMARY CAUSE OF DEATH GIVEN WAS PHYSICIAN OR CORONER WILLIAM MADAUSS. M.D. AUTOPSY NO P PLACE OF BURIAL OR REMOVAL SAUI MON CEMETERY.POSEI't%I LLE. I N MANNER NATURAL DISEASE FUNERAL HOME BERRY FUNERAL HOME• POSI;I l`I LLE. I N DATE OF BURIAL 05/22/2000 I•' CERTIFICATE NUMBER OR VOLUME AND PAGE 00001125 DATE ISSUED 10/07/2013 4 Y Nq ,vALID UNLESS SIGNED.a SEALED • ,.� 01S- i4 , I ' •'--cam m VAND ERB_RGH COUNTY HEALTH OFFICER FFICER ._u.o. i V - - f .FACE OF THIS DOCUMENT CONTAINS MICRO PRINTING AND BLEED THROUGH NUMBERING•BACKER CONTAINS AN ARTIFICIAL WATERMARK , e t CO - fl - �a -.2 a a- ©ail . « t - of FILED OCT 102013 ass- GIBSON COUNTY AUDITOR