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Death Certificate - Church, Lawrence_4/6/1987�' LOCAL CERTIFIID ,! t' ' � 1TY COUVTY;DEPARTMENT OF HEA�T,,yy�� k �, . ' , ' i 'AECORD OF DEATH '� s� � r� " �� �' �- � .. , � � ....�� � af � , � II � . {I ! ' '. � , � +C�ty of Ecansville� �Vanderburgh �County:. � ����i , - � ii+�� > >' � � ii ,�% � �! �"i� i� ��s !{� .^i, s;��„�.,(y.201�7S.�E{�yThud�Street...,..i: yf '{� -� � j� ;t. s� r �� .. ;�' , �� -- . il - , ir r , a � , . f . �t �-_ }�. jt M , �ct t�tf ; Evansville; Indiana �I ;i"'°'f.�-; 1 �� �F •{� '�.r�� 1 � ; � "lI ,f j .,i. t� ��1 E� �.t 3 � �' f F.� t ! S f. ,t {t' �i I µts =i`_ �.j. � si f` .�r � � i� } it �-� � ) �(-.. f_! � �; i � � if• +4 s� >i`�"1��� i`�(( �� �t � �� ,� ��� {f t��1/ � . �� w � e( i i, `-.�;,e f � �, ,�. i�'+� �� ''�i l.i.! �� �1 �!_•v1i ,E f.�f fe�� �t� tt���-'' �" ����.�; �� 7.�. �� t �}. *!�;'� S�;t t� '� 'F f.�� i' �t� ' i< yj.�� ;� { Ek r� { , � ��, !�- �: -- i f ' . �_ „ „ t }� ti . , ' ! ' -This ss to Cerhfy that aur rernrds sho�v_ - ' _ !' �� -- ' '_ � died � f a ` � • � �_ `i jy ^� !r i�' F �t :� i1�.�� f� yti t 4 - .� # N ' i . s ` �� + � i_ . ., C � , ( � ! 1 i� ', , .t ..�� i! � 1 _ t i� ij 6 j, /i � ,, ' ; IE { f 1 ,. i 9 ;� � !� ! G S�"' � i � .•1° ;�.. __'_'�_' � l�� ���f ����—..�:�y��G Q�-«t� t�._ . __�___t%�.a/�n,�'t ��_ _�� ,. 1� �: � e ii. - i movtL �i ^dsl / � �l __"'°�?-!!�t 1� ,� �� - D ' � � i ��� �• . S � , 7� t year�� hour'ot dea . .�. .. etrmt hm �tnl o rurnl ' �� � .,, ! , i t' i{. . i. 5� r� ,'�//� 3.�i t.i r y!� �(� .i?�' � � I� � � . t� � ' I � ,. � ji -�Age at dea[h'�O_� Sex t� ��Q–Color � j � `� �' ��%��' .` $' :' 'r �' ' -.if. ➢ea+s.tF ° 3l •�� i�r`""�� $� !� i1 ��y {• wr whe[Ler�m ned.az �mPle - -� �{ ' .'^ ' ' .� �! �..:[t_. I_ `1:. �'��'�'� ���Y ) � � i�..�..�,.. '�f ::� !t_ '` -z � �� { ,� � Prim� cause of fdeath gn en. waz' `�� �/ •- t� ;1 . � . ! i — _ , � —. , � .— — .. — — ----- . . � .i �, . } � f €I § ��. � 1! 1:.� " �i . t �.= t. tr �? �+ �t a� ;;. ts ._ii �1 —''�. 33 "-,� _ti., `: ..i�'_1. ' . �' . . , 1 Ir � . . j S i r. 1� �� �� t .( � ol .�A Si f- � i )1 � ' ' '_",.i� ' _. _ �j��� . c �� • � S' . ��Signed�by; �!C_�/! " v��Gfl�? � j� � f� � f) ` t� !� � - ---------! —'F � � c • ' � . 'ph➢sicien oreuseee � � { � � t j °'� y t � 3 ! _"_"_ � e eea "' . • 1 •' ' � - � : f�:,._'�!'` �;" ei":^`7i::.'O I $� 'if. �! � F i /�_ f;•��-� ' � ,�' // ` - . -;'_ _ � _ 'Place.of burial or�removal -- ------- - -- - - - --`_ - + S�`'�'��«__ �_ � �"�-�-f� at J___ �i.� �� .i�.. �� ��� !i ��: i! e Leeme�L� .^ dro� „ . � / , f :, , . � � c i � Y"`�'� : � . , . // ,,_ 1 Q � . � Date of burial �� �� � 7 � � ` -- � � _ •. - � , - - - a��oi �K � � . l� _.`: `:`�° _ -i �i � Fwnerel�DueeWr.::$f..��` .!_ . ��� i�i'. "_ '___ad� J __ t �. � _ t� .! � �� Y' if it i. .. • : '�"' � 1 ...� .�. . i= ' t �`y� �� � .. , , . .. f ei ' ,? Signed _ _r _ E71�2�}�� ' ' _ �y � � ,�� _, - ; -y� -- --s«� ' �" ':' ,� i ��_... :�j' : ..:' �:� , ---- . . --� (SEAL � . ..., '� _ . • ,, .. ; � -'�; Euansuille,: lndiana � �'- ��-� ,. . ; - � ------- -- ------ .. .i . - � � . . • �� . .:;. � , i. ----aek � , ; . . � ; �. - •:;: ' . . �� � � _ - ��•i . ._ NOTE: Recorded locally in Book No. i-----•- �'_'_-- Page A'o.---- ----------' . - . . . . , • . . i - . °�• , •� . � , , , . �. �. , �, :� � , ; - , : ,•: