Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Death Certificate - Barrett, Bernice_5/3/1978
. . _ � .. - � . • _ . _.. . _.. � � . :: . :: `-. . . - -: : _ _:..-: -._.: : _ ___ � „ �.. . - -. o-' LO�AL CERTIFEED.�� :'- � CITY-COUNTY'DEPARTMEPlT OF HEALTH= � 'J� �="��,,: �_`__ ��> � RECORD OF DEATH G�y of e�amv�ne Vacdcrburgh Counry i � o .�. i �--Ev�mvJle lnd�nua _ - .s - � '— • _'..'— ':� ' __ 'i � � _ ' . 0 s� - N° $8 ., s6:--.' . :, .' ...,;. ; ..�i i' .: ..: -•'6-''--- :_:,�:t____ .� t._ . .. , _ -, �-: . . - ..__ __ _. ... ; BEFiIdICE SARRETP';.� .�,_a t•_Thia ts to Ccrnf-y',_that our.records.show''— ----- -------------------- -- ^- dmd - � Q _ .,...--..��: .`._.. � � ::I.i��f . ....�.� ^-.):.-.):...•.:[.�1'...-. � _ _ 6t:'I. .. �. ......li .i.�........ ... :.. : , Y � ; _ . JAbT: =--23-----1977------;-,�- 15 _A.M _Welborn_Baptist------�---_ -- .6 1 __'monu` :: _: d+J -' • fur.: � . y 6our.o!'dmth = . atree4.bmDiul or'rv �I;_ __ __ m ^ � _ . ' t _ - ,. .. . .: - � . � 6 Rgcardcath 63 _�Scs Fe_ Colo � � Marrxe3``� -' =; - °' - -°---------------- -- • -- _ . .; y .... . . ..... �.° '� .. . . .. ::..:.::. '_ — _ _ � ' '_"' _' -- - . m mnrried or�inple . �. ... � . . ___:__.:.'�"'"_"�: �-�. .�.-.........�._._:�.__:".` ' � .._ m'w, er:. _ ... . :- _.." '""i:' - m' - ' "- '` `—"`�'-" -Menin eal-carcinomatosis"-'_:primaxy-carcinoma��_:?." ::. 6[,.-Prinary caux oFLeath given was------- g------------------------------------=`------------=--- -- _ o .: .. , , - ..: „ __* m_, .. _ _: - -- -. _ _ ; �_ -"— _ —��—'�• - . .... „ _ . s ice-unknown _ . ...�.. -- --.: -� . _. � __ _. _. ; , - n ' ' _ _ � K .._ ____ _�� .�__�`�_� _ . ._ 6 , . - • � -- . W C Gr imm . . S, C1.t . m�- S�gned by -- ------------- -- - -- -- ----- --- v ' —.'Dhnw-ian �['„q�{er _'" _.. - . ' addaw � --- . � _- _ Walnut-Hi,1T ' . _ -''E't Branch;�Ind.. ' =: -- - �Place of 6urul or removal ------ - -------- ---- --; -- ----------- - --`- --- _ n -- _ _ -- � .__. �. .,.� o: «a-Y� '' -- . -. _. - '..--. _. -.-.aars. - . . .... . .. ,. . _. '- : - � ' � -_=�-'-1=26-77 : Stodghill = '=�� =E`t.Branch>Ind. _ "_ ' Q ._Dzte of burial-----------'.--------- -- -----`------'--- ------ - -- - - ----- "'- - - ' , Forual IhzecWr ' . ' .. �, / . ._ . ..� - .� .•� � '�_ :, . ,_ . _ . - � �ii. � `� • -- : �t _ . , . � , ;.. . .. � • ., _ ' ---�^_ �._" f��-P�" .: . ._ _._.,,'� =Si�ned. --------- -------------------------- ---- Rcgistiar - �� --,.:- - e _ . _ ., - --' --"'.._ __ _ 1=28-77 __ �- : -.,_::.r:�_�:�:--. ..: -_E:�ansvitle;:Ised.i.nh:�._:._:...::.�::._.::; ----------- � —_ .. . . ..' _.:. . _7'- . : . . dat¢ ; . : — `'• -` — 42 ' •`--' �. , _ _.NOTE: Reco,dcd 1«ally in Bood No. __`____________ Paga No. _�_ � w•a:asaaea�eaii�NCxae�san�rue�un�rn;�neea�a�n��ansaaaan»uaoaua ,_: -- -- _ :[s�i:i)::-=:.':- - - ----- -= _ •-_ . ,: :. � . '-_ ��t;; �"_;..°,. . ._ - ----� _ . . . - �' E'£E $2.00 .: s) :-� . rl : =`-- = - _ -_= =-:; :_ :-.=.. -_=._-- :.= -..:. :.� _ .-..,. .-- __ _ -_ -:;_'-�= . = l - .. .. . . ... . . ... . ..... ._ � � . - �- .�- - - �