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Death Certificate - Farris, Earl A_1/23/1975LOCAL CERTIFIED .: RECORD OF DEATH ''CITY-COUNTY DEPARTMENT OF HEAL � City of Evamviller Vauderburgh County � , ' - Evaneville, Yndiana . . , � �:N° 1528 ' ---EARli A. FARRIS .' -- -- � Thi§��isto Certify, that our iecords�show__�_________ _____________________ '__�______ _ ___ � died - 1974.- 0:4 A,M Evan..ville State Hos ital ' DFC . i� . �-- 5 --- =-- -------=----------------p -------------- ----- ---------- ------------------ a � •month � da� - year -� houz o[�deat6 � - �treet, hmpiul or mral - . _ ?0 ' �1ale Wh, _ Married - . . � A�e:at death------ �Ses-=-------- Color------=--------------- ------------------=--------- . Tean . �. ' .' � . . rive whether married oz aingle . . • � . . . . ... .. . . . -. .'" . . . ._ _ . . _ . . . . P� � � Broncho neumonia - �' - nmary cause ot_death'g�ven w-as-----------P--------------------------------------------------- _ . .�_ R.ARanilla " ' Signedby --------_--------------------------=----------��`-=-----`---------- '----- -� phyeieien.or�y¢7�j}$p[ ' .. . .nddreyt --".' Place �nf burial or removal_-_---SomeI'Vi_lle--__-_-- �_____-----SoIR@Ly1112i_ IJld'------------- � � . - . . . � . . . � nme o[. cemeurY . . � .- . . � . . . . addzaa " . ___'_ -. 12-1 Z4 Corn �-_ Oakland Cit Zrd. • - . Date oi burial --- 5----- �------- y-'-----------'----==--=' . • "FUneral D�reetor �-{--"--� ' -- . . . �ddrm�: 2'�Di �'^�►��,�, + ' �-Signed� ;--- - —�!%??fi�L�_�J= �/✓fZ��C� �fif/. _' _Registrar. � - 'K��'�'�� -°�: . .. °-°'¢- � -:+�P:.'° yr :,. Evansyille, Indiana _ i2-i7-74 --_ _-_ �-�^h CSEAL] : -_�� . "_ ' . . _ . . . . _ , dete .. � e'� w . •4�� -� 1� " _ . . . ' . . _ . ��'� . � � � . .NOTE: Recorded locallp in. Book \o. ___ 39_______ Eage,No � ______ _ . FEE;$ 00 : � � . - . . . . : . : . . - . , . . . - ' . . � -. �, � �'• �= /'. ? . i,-e'ea � , " . ' � —a-�� ..� _., ., 3 �. � �r