Death Certificate - Miller, Karen J_6/24/2014 8 t Ea.Age.-Y,rs, ) I 611.Uhder 11yeer I 6c:Under 1 Kin-Di:16d)Ogai TDIVIDe.'Uhicietr 1 hir 197%Dute bf.13Iiih(M/DM ' 3% %. 1 I 13.Birthplace(Crtylind Static:1 fore igir Cobritry)t i t ;
r •25a,Method Of DisPosition 2-50,Ptacicif Disposition(Narhe Of Cemetery:Cr-erne:ant Other Pierer( 8: Stir"8.38 8" 1"--3125r.Loretinp Cati,Town and State ,
I239.Pan I,Enter file Chainet bents-Diseases,Injuries.Or Complicatiohs•Shit Directly Caused The Death:Do Nct Entectenianal Events'', • A' t -
,Such AS Cardiac Arriit;Respiratory Arrest,OrVentricular Fibolation Wthout ShoWing The Etiolcia:Do Noi Abdrevlate.Enter Ohre One Ciuse On. , . 3 . In:en/311:0mo To 3. - 'i
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4 1 Pa n 11.Enter Other Significant Condulohs-CualbUsinitTo Deathaut plot Resulti,ng In The-Undetelyini Ciusi Given th Dirt! ' ;29.WaiAn'Aptotisy Petfonned? i.
1 I 31.Did Tobacco life Contribute TipDeath?) •32.1f Fema le:3 '
„ LJ,Net PrrynarL tit heron'43 Days To I Yea;Beim Dem]; i,.,..-::...-D !Nothrienenu But i'regnani 43 b.ary To 1Ye8;5;fore De‘th ".1 .
-1'34.Dazern Injury(M/Dh; . 1 35.Tin Of Injur9 I 3h!lace Of INtriv MC.Dedendik'S HOM3e.:Cohitturtair,iiti;Ristibrant,Wooded Area) 37.Injury at Work? ,
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-rittliiAme,Address And Zip Code Of Person Cenifying Cause Of Death: ' 4510ate Certdied • r• 1 " '
IliCtoENTIN 9H. EMERSON/M.D.
;1-Stke hi-ail-5339i-etTENTiON ES,TetT :.The4Social eCurityar is hey%restu-esifik4iilkstStalemtirtorclii,t9;puriBligpacrety:biiiiostireivaiuntaty and there will In no perralrif or recoal,, It,.