HomeMy WebLinkAboutDeath Certificate - Mcconnell, Vallisa M_10/20/2014 II
1_ VAkWERH!JRGH.COUINTY HEALTH DEPARTMENT 14900
Evansville, Indiana
CERTIFICATE OF DEATH
z[ji CLeitifie , THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT
1
NAME ,CALL I SA. M. MCCONNELL
DIED IN VANDERBURGH COUNTY INDIANA ON q--✓EMEE= 10 YEAR =Ole
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TIME OF DEATH LIC: I P.M. h9ARITAL STATUS I.In-`��=ED SEX FEMALE AGE RACE ItPC= I R
1 DATE OF BIRTH I'_I/0/03/i-45=
PLACE OF DEATH ET. MA,R i.S MEDICAL CENTER. 'I
PRIMARY CAUSE OF DEATH GIVEN WAS RECTAL CANCER
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IPHYSICIAN OR CORONER ANTHONY STEVENS, i•i.D. AUTOPSY .,_
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PLACE OF BURIAL OR REMOVAL E A SV i LL _. If,AI _ ;i MANNER . : _ . D_SE G
I FUNERAL HOME DOYLE FUNERAL HOME, PRINCETON, :N DATE OF BURIAL '3711010
i CERTIFICATE NUMBER - - -
OR VOLUME AND PAGE F
lQ:"1� I$- DATE ISSUED ! -, i -. -,i!.I
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VANDERBURGH COUNTY HEALTH OFFICER y
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