Death Certificate - Bertram, Evelyn_3/18/2011. 1 � -
�
. i/d�ND�RBUAiGAi GOU61lTX i1E6l�TA� D���1RT9VIENlT 04905
EvansviNe, lndiana
CERTIFICATE OF DEATH
��j i5 �ertif i e� � THAT ACCORDING TO THE RECORDS OF THE HEALTH DEPARTMENT
NANE EVELITi G. BERTRAM
DIEDIN VANDERBURGH COUNTYIPIDIANAON FEBR[i.�RY 11
TIME OF DEATH OH: � 3 A. M. MARITALSTATUS WIDOW SEX FEMALE qGE �6
socia�secuam DATEOFBIRTH 07/19/1933
PLACE OF OEATH DEACONESS HOSPITAL
PFiIMARY CAUSE OF DEATH GIVEN WAS CORONER—RESPIRATORY FAIL�RE
SUBDURAL HEhLAT�fA
BLUNT FORCG TRAIIMA TO HEAD
P}iYSICIANORCOROYER ANNIE E. GROVES, CORONER
PLACE OF BURIAL OR REA50VAL OAK HI LL CEMETERY
FUNE(iALHOME COLVIN FUNERAL HOME, PRINCETON,IN
CERTIFICATE NUMBER
FAI:L
VEAR ZO�O
RACE �ITE
AUTOPSY NO
MA�N'eR ACCIDENTAL
DATEOFBURIAL 02/15/2010
OR VOLUtdE AND PAGE OOOOGG� DATE ISSUED 03/76/2010
NOT VALID UNLESS SIGNED 8 SEALED
4V H���� � 1
-- -- —G -- ,,.o.
VARDE URGH COUNN NEALTF OFFIGcR
FILE
MAR 1 S 2011
c�.m " \l
GIBSON COUNTY AUDITOR