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Death Certificate - Burdick, Maurice L_10/13/1976�'. , � . . .. �� . �:: �; :�r � �_ . , . : . ��� �; . �, . �LOCAL CERT,IfIED � ' CITY-COUNTY -DEPARTAAENT OF HEALTH '. ' • � RECORD OF DEATH ..� c�cy oF Evansdille— Vaudcibutg6 Counry ' *7O � . – . � . - �Evansvillq Indiaua ' . . lr . ;: 5��89 : . � . .- ' . ' � '.. ' MAURICE L. BURDICK : . ' : , : 'This is to Certify, that our records show____ _ __ __ _______________ ____ ______ ___ �died ,� ' . . . . . . .•: -MAY .. . 26 :� .' T973'- �2:30 A.M�.. • �Deaconess . . '----------------=y.------=--------'at ---------------------- ------'. . ---------------- � � , � month _ �� . �.da � 1ear. �6wr ot deatE . � � Keeet, hmo�«� a*�ry���• . ' ' ' . � . , . . . .' " . . : . : -- 80• Male ' • Wh . • Married . . ' - =--- --------- -=- - =--- - ---- :� ' Age.at death�________ Sex____ ____�Color ___ ___ , , ._ yean . . � . � � nte whethcr marned or e n¢le. .'Pnmary�cause of death� g�ven was_ �Acute hemorrhagic_necrosis o£ �pharynx and__ _ , : �� . : . . -- . esophagus,'sub.acute.lyinphocytic leukemia _ _ ,'.,. - --'- -- -- - -=-------- - ' S� ned 6 ' C Siiin : • • : City -- ----------------- --=- SY ----- p ��.. ' � --- - -=- ------= - -= -- ---- . h uan � . • • • . • . . ' sddzm � . : ' ' ' � � ' Jones ' . .� . : Flat Rock, I11. . ,�.',iPlace of burial or removal--------------------------------=-- -------------------- ---.---------�--� ' . . - , ' enme ot cemeterl. . . . � . ���� . . �. . . � '�� 5-29 73 Colvin • •Princeton, ?nd ' � . Date�of:bunal ---=--- ----'- � --- - -----�------- - ---- � ----� ----- - ------ • ' � � ,FvnernlDirec[or addrm• -:� . . . . . . . � yt. ' ��_ ' . . '. . .. . . . '� . . . . � ,� '�n- . p . . . ,�.� . Signed --- -----�°`�`-�-�'-�}-�1-�i-9 --- Registrar � � � , . . � � ' - � ��Evansaiille,;Indiana; .: : ' ' -_- io s ?6 _ _ � � ,LSEAL] .. . , . . . • . a.ee', . _ , - �.`� '. . ''� . : 41 : ,' . � �ATOTE: Recorded��locally.in;Book No.:________�_____,Pagallo , ___ __ � -_.. . , � �� ,.�FEE $2.00:�.� . � ---: • � . . : , ; ,' : , •