Death Certificate - Besing, Jesnia C_4/29/1977�: �. � � I. I t : � .. �, I .. , �' . E-; , i� �,'. I.. ' I'� It . � • I ; z,;;.: t;�_ � ' LOCAL CERTIFIED CITY-COUNTY DEPARTMENT OF HEALTH ��-� �` RECORD OF DEATH Cin af Evann�ille—Vanderburgh Couoty A� =�' • ' � . ' � Evamville, lodiana �` . �� � 2262. .. : . , . . �.; This is to Certify, that our records show______ESNIA C. BESING____________________�________' �9ed J-------- ------ . .. . ::; :- ;I; � �-'IOi�IE-=------ 23------ 1 2_ 50Prj----- _ i3Q1U�'ll_ ,�== �-r---• . . - . � �. . mont6 � . ' d�> rur 9--- ateo�� of dntS -'_'-" �trret. baDli�l or rurd.� � � I��.' � �� ..I . � �. .: . . . q .. � . , 1 .. . }� L {� �I('- .;�. �� •�.'-'80.. ...•.• Femal'e � White` . ' • ..:: �'; . `ed+l; '•..�j'�., ,: ,. . ,. , ' Aee a( deatfi------- Srx-------- Color-------- — ------W2dQW---'------ "'___'_________h th ' ` .. .eam '' � � w.�.e : e er mvned or n p e . -' � � '4. �I� ; . - � � . .1.'�7 . ' Organic brain syndrome _ '+ - • .. � . r� t,� • . . .Primary cauu of death gicen was---------------------------- - . .. '.:. - ., • �. '.. . . .. --------------- --.----=-_ ------ � ' �. `�' _ _ - ------------------- ----------- " , -------------------------------__---------------------------=---- . .. ., t , --- --------- --�— y---�--- : ,a . .. ----------- � i;'. ;. � . . ;_Signed,b�y.� _ W:- G---Ge tty t,it' � -:_- .--_-f'?- . , , ', . phniei.n dfRnYnner ' .dd�a• •"`.• :.`:'--"-"• • ,: -,•.,.. :;, Liberty ----- � - --Cynth�. '(Ii�r:'•�; ._ , ��. Place of b�urial br removal______________ '__________ iaRa, Ind. � a�__ _ - --- - •� �.m< <<.m�u.� ---- aa.e. .. i� � . �' Dace of bu�ial 6=25-75 __[aerr�_ _ _ ___________ __ posey_v_ille�i�d� � � __'__ . ' • � . . ' ELnenl Direeter � addree� . ,.1...,, r . �' . �;�':° � � /� c � p ���-y� �i. ' . � '�'..� l� -' . . . . . ta • L . ' V —�� —' � "//. V , . . . . ...._�,. . � � . . . . .';_..y':::;��'�:• .. ..'� S�gnedr _.•-----------------------------------------Registrar. ;;� . � . . . � . • � .. .-'. • .'-... .. . . . 4-28-77 � .� . ,�c:. ,, .. , •:: ' �:�Evansvil[e, Indiana : . _,- . - - � 't;F��r _'. , � ------------- � . i, , .. a.« .: • .�. . _. , . ,,.. :.. ���IdOTE: Recorded locally in Book \o. _____49______ Page No. __12Q_______�_.� -�;• �=� ,':�FEE�$2:00.-`.� I....... ... ........ _......... I_ _.. _.� ------