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Death Certificate - Bolin, Arzula_6/20/1973LOCAL CERTIFIED CITY-COUNTY DEPARTMENT OF 'HEALTH RECORD OF DEATH City of Evansville—Vanderburgh County �7 8500 - Evansville,' Iodiana j� O This is to Certify, [hat our records sho«-___________�� �I'_� , ______________ died --'-�'-Y-------19 ------14�---- at -�=00_!A.M.--------- Welbox'n Ba���------------ -month � day . pear hour o[ dee:h eVeei, ho�piul or mrd Age at death- 67 --- Sex_Fe• --_-- Color_Wh• -------------------�?.IT�SS�--------------- � Sears w�rite whether married or eingle Primary� cause of death g�ven a�as_ �llOOnaT^1 &Rbo11S Phlebitis AI'ECT1oSC1eI'OSfS- _________ Signed bp H.Jl:_P@�e?� ----------------------------------- ----------- City_ q�_021t1�n,{L_C�i�Y . , � phyeiciav o�(�q'Q#,�' �ddrm Place of burial or remoi�al-' --- �?Ckfoot---------------------- ---- �?utpeon�-_ Ind.------------- � . n,me of «meu�r . . .aaree ' Dace of burial _7��3'_� ____ COrn Oakland_City, Ind._________ --- - -- - - - - - ------------------ Q�"/�(� Fanqj(j,sl Div�ec[jLp�r . �ddrma .' �...�Gd. i //. /V�`7/IC/YY2^"" �. i � ..� — :,. � ,. Q/1 � • ,�.:' _ �...��.. $igned ------------- - ��a----------'-----------------Registiar. . . � ., r;... . �Evansville, Indiana -----6'18-73--------- - �' �sE-"i�-: - � � . a,u � - - . . . . - :, A`OTE: Recorded locally in Bool \�o. ----- �------ Page No. ---- 141 -----• �. . . p$$ $2.00 � '