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Death Certificate - Broshears, Edna Ruth_5/13/1977
i , . _ :� � z:. , "r: y - � � � I p� ... � . _ - . . , ,, z�- : :. _,.�:_; ( �� LOCAL CERTIFIED CITY-COUNTY DEPARTMENT OF HEALTH _ � - ''- +` ="�" I RECORD OF DEATH City o( Evamville— VanJerburgh Caumy � 1 . � .. . _ Evanecille. InJiana l�i° � �.854'�: ��...� . e � 'I,.�. I:�.. I' : . t I- � .I '. � � OH81 I: , _ ,�.- �' _EDNA RUTH BROSHEF,RS " " , This is' to Certify, that our remrds shmv---------' -----------------------------------' -__`---�- �. died' .. JAN. -;_ 14 . 1977 ' 1:00 A.M Welborn Baptist • -:_ �::: , -'---=-----`--'---=-------- - a� ------------ _. � . . , . -----------------------'---'---------- � ' � _ � month , ; �;` ; da� , ; . _ yeer , hour of Aenh , �tra4 ��wGiul or rvnl : j - �- � 1 - „� i ..� . . 62' � Fe�" . ATh D7arried : _ Age at death ____ Sex____ _____ Color______ - - ' � , ----------- -- ------- --------- ------------ - , yesn write wheffi<r mvrried or einple, .. � " Low loutput heart failure - Rheumatic'� -'�!:;>'° � Primary cavu of death given was------------------------------------------------`----------- �� ., . _ _ .. - . �, . . �.z�. - heart'disease ' ----- :----=-------------------------------------------------------------------=----='=--- ; -, Cit , -------�- _' - Si ned b " -- '".. -�. � . � r . . aw . ------------------------------------------------ --------------------- . � . . nhf�ieim XciFDF35lf . - .ddrm ., . �'�i . -:" .. - .�..� '.. � Walnut Hill Ft.Branch;Ind:. -- • '-•• - Place of burial or removal------------------------------- - • . .. • :.'--' ' ------- -------------=----- ----`=------= n�me o( cemetery � Wdim � �: �' ' . '� 1-16-77 'Stodghill Ft.BrancY.;Ind. .... . . . Damof b'urial ------------- --------------------------- ------------------------------'__-- .. _ � - Fvnenl Direcmr Wdee " .... ' Signed . '� ' ` C ' --�'- �i_= — _______ �-�-----Registrar. � :,.' • . Evansville, Incliana 1-19-7i "'__"'_"'___"'_"'_. d.te �ti`OTE: R«orded locally in Boolc No. --- 42------- Page No. --------------• unnnnonnu�annauQnuununrt��e��art� , i - - [SEAL] , � - � _' _ . �'. ., . �. � ' .. FEE $2.00.'�