Vital Documents

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Death certificate of Carolyn M. Cassin (2001, Indiana)

Local No. 009388, State No. 109388
1. Name: Carolyn M. Cassin
2. Sex: Female
3. Time and date of death: 6:50 AM, December 14, 2001
5. Age: 56 years
6. Date of birth: September 23, 1945
7. Birthplace: Niagara Falls, NY
8. Not a veteran
9. Place of death: inpatient at hospital, Community Hospital South, Indianapolis, Marion Co.
10. Marital status: Divorced
12. Usual occupation: Homemaker
13. Residence: Indiana, Johnson Co., New Whiteland, 136 Windemere Rd., 46184 (inside city limits, not a farm)
14. Citizenship: USA
15. Not of hispanic origin
16. Race: White
17. Education: 12th grade
18. Father's name: Gerald Wheeler
19. Mother's name: Joan Pay
20. Informant: John Cassin, 136 Winderemere Rd., New Whiteland, IN; relationship: ex-husband
21. Disposition: cremation, Dec 18, 2001, Greater South Side Crematory, Greenwood, Indiana
(info and signature of funeral director)
26. Cause of death: Sepsis, due to urinary tract infection

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