Death Certificate - Johnson, Penny M_4/27/2016 .-� _ _ .. _ _ _ _ -r. _.c _._ .. .- ,� • _ ran 7 -.__ .,
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VANDERBURGH COUNTY HEALTH DEPARTMENT 039 `
Evansville, Indiana
CERTIFICATE OF DEATH
triji8 (Certifies, THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT
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j NAME PENNY M. JOHNSON
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I DIED IN VANDERBURGH COUNTY INDIANA ON DECEMBER 24 YEAR 2005
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I TIME OF DEATH 02.02 P.M. MARITAL STATUS MARRIED SEX FEMALE E 'E AGE 39 RACE WH1
DATE OF BIRTH
E ST. MARY'S MEDICAL CENTER
r PLACE OF DEATH
MASSIVE GASTROINTESTINAL BLEED
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PRIMARY CAUSE OF DEATH GIVEN WAS PANCYTOPENIA
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I - PHYSICIAN OR CORONER RICK BALLOU, M.D. AUTOPSY NO
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I PLACE OF BURIAL OR REMOVAL EVANSVILLE CREMATORY MANNER NATURAL DISEASE
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i FUNERAL HOME COLVIN FUNERAL HOME, PRINCETON,IN DATE OF BURIAL 12/29/2005
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CERTIFICATE NUMBER
OR VOLUME AND PAGE 00002538 DATE ISSUED 12/27/2005
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1
NOT VALID UNLESS SIGNED&SEALED
r , DERBURGH COUNTY H
FACE OF THIS D• I
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- FILED
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APR 27 2016 .
- GIBSON COUNTY AUDITOR '
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