Laserfiche WebLink
4 � <br />STATE OF HAWAII <br />DEPARTMENT OF HEALTH <br />Name of Decedent <br />Linda Kay Lemke <br />�*,�;�sss, � <br />l� • ;��b•,, <br />�� � <br />�0120G279 <br />CERTIFICATE N0.151 2007 - 008636 <br />City. Town or LocaUon of Death CounN of Death Island of Death <br />LIHUE KAUAI KAUAI <br />Actual or Presumed Date af Death Actual or Presum@d Time of Death Date of Birth eye at Death <br />November 20, 2007 12:50 PM . July 12, 1955 52 YEAR(s) <br />e� ac CiUzens i Ever in Armed Forces? <br />FEMALE Caucasian USA NO <br />Socfal Security Number Marital Status Survivina Soouse (If Wife. Name Prfor to First Marriaael <br />505-76-9317 MARRIED Paul Lemke <br />Father's Name <br />Eugene Taylor <br />Mother's Name �Prior to First Martiaael <br />Barbara Jameson <br />CREMATION <br />oate: December 15, 2007 <br />Permn #: 21767 <br />Cemetery/Crematory: KAUAI MEMORIAL GARDENS, INC. <br />locaUon: LIHUE, HAWAII 96766 <br />Funera� Home: KAUAI MEMORIAL GARDENS 8� FUNERAL HOME <br />��` Cer�fler: Yo Ho Shek MEDICAL EXAMINER/CORONER <br />'�?'s �ate certtred: November 21, 2007 or�gina� �ate Certified: November 21, 2007 <br />s� oate Pronounced oead: November 20, 2007 Time Pronounced Dead: 12:50 PM <br />`u <br />'�t Cauae of Death: <br />�' a. Head and lung injuries <br />;' b. Faliing <br />" ._ — <br />_ __ <br />.. _ -- <br />:, — - <br />� _ ._ _ r . �-- <br />,—.�� _ .� �-�.-__-..:,:_ <br />J_ :z _ _ = _- _=-=_ <br />�' _ " r f ' <br />.. S�= .a,. _ _ _ ' .. <br />.' _' 1 : -a'� � - — — — <br />r i'— <br />. � S : � � � — �=� _� .. <br />:, Manner of Death: ACCIDENT Dete of InJury - 1�1�g�[Ci�1.�e� `�,�(�7 a, `- Time of InJury: Unknown <br />:� How in�ury occuRed: Falling of cliff in the back of home = s'= <_- <br />--; Injury at Work7 NO Place oilnjury: HOME <br />�: �ocat�on: 6370 Kahuna Rd, Kapaa, HI 96746 <br />Dete Ffled by Stete Regfstrar. November 30 , 2007 <br />OHSM 1.2 (Rav.1/OB) This copy serves as pMma facie evldence oi the fact of death in any court proceeding. [HRS 338-13(b), 338-19] <br />