Death Certificate - Emerson, LaSella M_7/20/1970LOCAL CERTIFIED CITY-COUNTY DEPARTMENT OF HEALTH — �E -$1.00
RECORD OF DEATH City of E��ansville Vanderburgh County =_
Evansville, Indiana N° _ 3899
I,aSella I•i. 8merson _ d;ed
This is to Certif}•, that our rewrds sho�s________________________________________________________
----August- ----�---- --1969-- at -------- --- ---------- `t._Mary's Hosp.
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movth day year hour of deat6 street, hoepital or mral
A�e ac deach --- 89- Sex --Fe----- Color ----'Tn------------------------ Yiidowed
y¢g� write whether married or eingle -
Pr;mary cause of death given «-as �ngesiive heart �ailure, Cerebral v2scular
_____ _______ c"_'__"__"__'_"'_______'______'__'____
- - arteriosclerosis with le£t hemioaresis
C. ri. Ruiz -----------Cit}-----
Signed b�� --------------------------------------------- -
� Dbrs�ciaa or ��flC address
Place of burial or removal _________�lax'k OvlenSVille� Ind.
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name of c�etey address
Date of burial _ 8-9_-6�____ _______:iolder _________________ __________vwensville�_ Ind._______
Fl�neral I�hjmcbr addres3 - � � ^ �
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Sioned ---------- ---------- -------- -----'— ----'-----------Sec'y. -� �.
Evansville, Indiana ________ 7_16-70 � �sE,�c� _ ,_
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4 1 - . - -. . �
\OTE: Recorded locally in Book No. ------3------ Page �o. -------55-----• " �1-�