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Death Certificate - Block, Alean Louise_11/10/1975.� LOCAL CERTIFIED CITY-COUNTY DEPARTMENT OF HEALTH . REC�RD �F DEATH - City of Evanaville—Vaoduburgh Caunty� *7p -- n�� ). . - . . . �Evamville, Indiana - .. 1\I . . a � This is to Ce�tify, that ou(records show_____________ AI'EAN IAUISE BIACR - -________ died -------------- -- - ---- - - — -- - tu+Y .� 1 19�0 5:10'P.M.' EVansville State Hospita7 � ----------------5 ------------------- at----------------------------------------------------- � month -d5> ' year hour of death � ��treet, hmv��+� or rvril ' � ' _ . . . . . . ' ' " Age at death--�---- Sex__ Fe• `--- Color__ Idlt---------------------- Married---_----------------- , � Tean - . write vhether m�rried or einQle ' ... . ... . . . Primary causebf death given �vas____ACllt2 cerebral hemorrhage - massive, left temoeral .�� _lobe, possible metastatic mammary carcinoma --------c--------------------------------------------=-'--=---=-°-=—=`= -=---'-------;-- � � $i�ned"by +J. 0. Denzer - '� .__ _ � .- City---------------_-_--_- � _ ------p------------------°---------------------- ---- ' � hye'eim I�i7d'� ' " � - 'addrd Place of burial or removal___ St. Pauls � Ft. Branch, Ind. ________________�______________ _____________________________ _____ name of cemeter � � � - �ddrae - Date of burial 5-?0-70 • Laib ____________ _ ______F'tr_Branch�_Ind.______ -------- ------------- --- ---- p� --------' bL era Di tor - . ._nddra� Signed ---- ,/• /J/�� _"'"""�- " '•�� -------Re �strar. � , � ` \ , t � �'. .. : ' ------ ----- ----- , g� �" . . . � ' . , t .� .�', Evansville, Indiaina - � $-20-�5 : ��`�SE^L� �'-' ----------------------- • '" d��! 1 . . . _.. -. i!+�e.�.- .�- � ,_.' \OTE: Recorded locally in Book \o._______ ge \o. _____________ r; � FEE $2.00, . . 35 -------. Pa . 99 � � � . . . _ . . . . . ' f _ F . . . . _ . . . �� -. � . . . . . _ . . . ... .." _. • .