Loading...
Death Certificate - Bertram, Welzie Daniel_3/7/1991i-�LJL"'` �1 F� I � : i 't. e . . 1 �� .. ,- ' � — - i � ' .. , .. . �, Gll ��.'� . Ij ii�. 1 h :, ' � :� , i� -.- :. � .� i�•. �� � . :� . +• . ; ,, s F ,, ,; t � �,., -:, ,, . :, :� .,, ; . .: , :, - , ;� . . , , ; ' . 1 '7:6 3 8: � �� ' ' � � ': dAN�ERBURGH�COUNTX HEALTH°DEPARTMENT ' ;,4� � �' `� ` ,, ;. '. Room:127�CivicrCenter- Orie N.W.��7th Streef � , �i .� . . ; u ; I� i(.;i-,: u . � , � s � ��.,� :� Evansville,•�Indiana. 47708-1828,• . . . �r'y � �� if i' f` ' ie � . i ' . J . , ,.. .'�� � '� ..- .i � r . �. ��.� .., ' , : ,, �� , I_ , , , �� ; ,, CERT9FICAT,E';O.F. �DEATH� REGIS�TRATION .. 1� I i � tl 1� � . �� L i��/! : .'L � .� p�. .. .. i ' . � ;1 � '. � . . . . . . . . �I i� ��: �; �*QII l' `��}�II f I{rS / THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT � � � = �� �i i� LU �� �. . . . ' . . . . , . 1 ` f'1 1� {—I� ( 1 I� � + . � ' . .. ' . . � �. ' ' . : �� ' '� �i��E � � :WELZIE DANIEL . .BERTRAM �. • . :' � ' � � , � �� 1� i� �� � � �.'t � '� .1 �' :i"i � it�lr ii'�i ' . .I ' ; •. � !j '. � . . . . .' ���' . � . .. - � i .� ' .� !� �� �� : o�EO �N VANDERBURGH ,COUNTY� iNOinrin,oN FEBRUARY 25. � Y�R 1991 , ,1 ` ��' � � � '_ � �� � -�; I y.: .�. _ �i , ,� ,� � ' . : ,. .. , r , t 1 ,I { : i 4 it � .. � , . . .� , -1: � : ' , :. •, I (� -� -r� • '- , 3 �10 AM � ' �' ' Married Male� 85 ^ White . �r _ �� '. �'TIME OF�D'EATH' � . .• , l i� �! '�MARITAL STATUS f . � SEX '. .'. �� .: �• �AGE- � � RACE :� . , . i! �� � y i `� � ' ' �, ` � � '. � I � _ . � '� , ;. ;, NOGEMBER 16' , 190� . !j SOCIAL SECURIN � � �� n, � DATE OF BIRTH ' k 1: 1 S,� !• I � '.� i ii �i' �'ii � ' i i � •�� �i i��"�k-s1.��:..�=i! , .! :',' �'' �DEACONESS�`HOSPITA.L� i � . :.�, . . �� � . �I , • �I, t '�IiPIACE',OF DEATH � i � . p. `� u �� �. .. � �t . . f. � . r �' '. fl .� 1 ., r. . il' ' � . _ . ' ...il ti.'f.i� � I� � 1 'u ' �� . � �i r.' � � 1.' � ..,.� , .. . � � . . - i� � ' . .� .'.. � �. �� � , ,�,.; � �' � � � " Heart'Disease= �CONGESTIVE HEART FAILU'RE� � :: , ' " ,� ! �� -i�PRIMARY,CAUSE OF DEA7H GIVEN WAS-- �i ; � -'�,� ,-, �i� . � , , , � � � . . . � t i� {' �i� � f' . '�i it �i i'�j �� �' ,- ' . , � � � � � - ..', , �� I *'! � 'V ' !1 ,� 1. 1 't � .n � . . � . { s' , . . . , '�� • ; '�.'� i � ' G � ii �:.� � i 1� r.'1 � „� � I. ' 1 1 -�i ,' i� � q. � . �.� . . . �. ; � �4 n ;�PHYSICIAN�ORCORONER,j STEPHEN� H� [YOUNG M �D� � � , q .��AUTOPSY �� „,� � . : '� � i� I� �i �� � , . ., 3� � . { il � �1 1 �t i .fr.� 1� � . � :• � . , . � . � .. � ;� � ° {�`aucE�oF euain� oa aFMOVn��� �3BLES CHAPEL CEM� � HeiUBSTADT �� . MANNER �atu'ral D15e852 � . : ��� ��'i.l� { � _�.:j �. �.. � .�i + 1.�� � 1 ' � It `:.� 1 . � � � ,i �. � . � .. ? ., '.. . . � ❑ f'! t � - ', i � JI � i! � 1 _ � �l ��' '{� ,. {- .. . � r �.� . ''i �, �i�-�'FUNERALHOME SIPIPSON VOEK'i'SAN BOii�87 ELBERFELD IN47639 � DATEOFBURIAL , OZ�Y7��1991 . '.4 � � �� -' �� ,i� � �� ' � ".i .: . � � , :''. .�; tl 1; : ' ' 1 -:":i 1i : • .1 . .'1. ,. . .' , t � ' � , -;t ; , �',1 , '. . � .� b2127/91 � � - � .�CERTIFICATE,NUMBEFi, . O00003�%� ,. . „ . . • . : � i I' � fOR VOLUME AND PAGE�, .� �� '� � �� � � � . q •� . ' � ' DATE ISSUED . , . � � ^I � 1� ' � ! � ts +� 1 1 . � � � h � �. ��� , � il n . � �t � I . . . , � + . � � f� � �� � , u � . � � . � � �,1 . . � �t' .: . .: a � � . ' - � • i �� r �- �{ + . '+' i i s1 �i �' -+ .� !" li . 'i � � ' NOT VAL1D UNLESS SIGNED 8 SEALED , . : , '• , i i � :� , �I li i � °t .i I�' � i' � : � , f i J{ � � '. .. '� . . .� : r t if. i i r j� t l �1 /�,� '-��� � p/]��� � : 1 r q �� Ij { � s', � . , .. �� . � ' p °' �'.L .�D '!�1��-5;,. . � � � �; � � �• � -I { , �� . '-•T � �� {� II-�+ �i ' � ,. u .��'� �' � � f� 1 • �� J . �� , •��.' , ii VANDERBURGN�CdJNTYMEALTHOFFlCER . . N.U. �i ,I. t . : � ' .�,. �.� . .� � ,� .� , .� .. �' ' � . . ., . . � . . 1_�. �., .�_:i �� :� '� Y '• . ' . �i ' .� ii � . �1',� . � . . . , _ - -- - . . 1.' �. ., � .i