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Death Certificate - Broshears, Violet I_3/29/1996 (2)� - � — . ., .- i ! . _ . �1 �, �C_ ' i1�,. , 1... ,` — — , . . . ' 1�� . �i—� '_ . . , . _ , ,,. _, - . �P 00867 � VANDERBURGH COUNTY wIEALTH DEPARTMENT Room 127 Administration Building - Civic Center Complex - One Northwest Martin Luther King Jr. Blvd. 1 , , - ' •. Evansville, Indiana 47708•7828 � CERTIFICATE OF DEATH REGISTRATION ��ji8 �ertif ies, THAT ACCORDING TO THE flECORDS OF THE HEALTH �EPARiMENT ; VIOLET I. BROSHE.4R5 � ._'�:-.�;NAME � . . .. .I!.. .e — ..:.. _�;.2n �L.ij.- � �' .. �� DIEDW�VANDERBURGH COUNTY.�NO�.�AaN �PRIL z� YEFR 1994 03:37 P.Cf. "L4RRIED FEMALE 74 h7iITE , TIME OF DEATH MARITAL STATUS SE% AGE RACE 0�10211919 SOCIAL SECURITY � DATE OF BIFTH. � �'_ aucE oFbeArH ."DEACONESS HOSPITAL _. ._ . - , - HEART DISEASE-REFR4CTORY CONGESTII'E ' PRIMARY CAUSE OF DEATH GIVEN WAS FAILURE IDIOPATIC C�RDIOPIYOPATH)' �� • PHYSICIAN OR CORONER JOHN OAK . M. D. y� . _": : ". �. -: .�'__ �r', �"' 'i _ ;t.--:+': ' ' SY ... �,,�PLi.CE OF BURIAI OR REMOVAL � MO\TGOMERI .CE?SETERY' f �a . FuNEan� HoME ' LAMB-BASH.4M MEMORIAL CiL�P£L AUTOPSY �Q MANNER N�ITURAL DISEASE DATE OF BURIAL 04I3011994 ' CERTIFICATE NUMBER � u" �� ! �~�'.OR VOLUME AND PAGE' �.0�0��949_ , DA7E ISSUED O`L I 13I1996 i� � ' _ 1. _Y. i . . � � . �. . . � . . 1 - . . � '�� , � �' � , , , � � . �'' �� NOT VAIJD UNLESS SIGNED 8 SEALED �` / . �� ' � .. � � ;�. �.. ' � j" '. tR/r.� � S a�..., C, �F'�:'.7�.G�+r.s.'`_=�ti�i � '"1'_' / � � � VANDERBURGHCOUNTY N��j[Yn OFFlCER L rwct or IMIJ UUI:UMtFII GUNIHIryJ MR.HV YXIIVI