Death Certificate - Broshears, Violet I_3/29/1996�
�
00807
� VANDERBURGH COUNTY wEALTH DEPARTMENT
� Room 727 AdminisVation Building - Civic Center Complex - One Northwest Martin Luther King Jr. 31vo.
- - _ _ . Evansville, Indiana 4 7708-7 828 _
� � �CERTIFICATE OF DEATH REGISTRATION
. � � , . ,. .
I�) �hi8 �ertiTies, THAT ACCORDING TO THE RECORDS OF iHE HcALTH DE?ARTMENT
�E .VIOLET I. BROSHE.�1R5
- ..:1 .:. . . , .
� o�EO�N'VANDERBURGH COUNTY. �NO��,AON
, TIME OF DEATH O3 : 3% P•?'I. MAFITAL STATUS �IED
SOCIAL SECURITY
' auce oF oennn+ DEACONESS HOSPITAL
:1PRIL 27
sex FEMALE A�E 74
05102I1919
DATE OF BIRTH.
1994
YEAR
WHITE
RACE
HE.4RT DISE.45E-REFR4CTORY COVGESTIVE
'- ?PIMARY CAUSE OF DEATH GIVEN WAS FAILURE
IDIOPATIC C�RDIO`IYOPATHY
�� PHYSICIANORCOFiONER JOHN OAk, M.D. au�oasv ��
.�' • PLn: E OF BURIAI OR REMOVAL KQ`TGOMERY CE�SETERY MANNEft ��TURiiL DISEP.SE
FUNERAL HOME 1--'��B-B�$�� ���RI�iI' CH''iPF'I' DATE OF EURIAL 04 / 30l 1994
CERTIFICATE NUMBER
� OR VOLUME AND PAGE. O0000949
DATEISSUED 02/1311996
NOT VAL10 UNLESS SIGNE� 3 SEALED
f . i: . � .-�", .� .. .-� • .: /'J .
.. �-L. �f:��.'�_ .JT-��vJ':T.� ��9 Or
{
�
� ,4` VANOE9BVRGY.CCUNP'� ?
ABP.i CFFlCE.
�,