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Death Certificate - Creek, Adolph Owen_3/14/1975_"-:-.--��---------- --- �,. --_----�---� - � LOCAL CERTIFIED RECORD OF DEATH CITY-COUNTY DEPARTMENT OF HEALTH Ci�y of Evausville—Vanderburgh County j�J . 3239 Evansrille, Indiana O � This,is to Certify, that our remid> sho«� _____ tiDOLPH Or1ElJ CRE°K _ - died FEB. -- --� -----i9_25-- --- �� 8 i18_ F M ----�eJ.knea BaeList------------------- � month - " day �, >�ear hour af deatl� - _ e[reet, hmD��+� o* ruvl � Age at death_--76-- Sex_ �Male--- Color__'"m•---�-- M�rried . , -- ---------------------------------------- � ' � ><an� - , _ write whether mvrried or einQle . � � '? . - . '. .. ' � . ' � _ . � � . ., � _. .' ' . Primar} cause of death givcn �va>__ Ruptured_ alX30IDiT1a1 aortic_aneurpsm __________�_ � ,. • arteriosclerosis - . -------- ---------------------------------------------------------------------------------- ' � M. B. ':lelborn �r. Cit Signed by -------=--------------------------------------- `�--------------- . ---------------'- - oh9�ieien)Q3IXiYu@F �ddrw � Place of burial or remova!______ Gaensville _____________ O�agnsv_��.lei_I��_________ � - •� •� •- .. -------------�. . ' _ � . ��m� oc e��eu.� ' :aar.,. . .. ' � Date of buriat_2'6-%S---Nolder---------------------o-_Qnsv_lj.�e�-l�`------------- _--_---- ' Fun<ral Direc� r 1 h �ddr� � �.,.� 1� i�r��-�.. � :: , � f, , , � ,�, , _ . Signed � ------------- --------------------------------Registrar. ' � -- � -�,.; • . �.._ ,.: _ Evansville, Indiana 2-12'75 ; _ \LSEAL] '�- ""__'_'___'_"____' _ , dete NOTE: Recorded locally in Book \'o. ------- 40---- Page No. -------------' = I. .�£ $2.Q0 r u