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Death Certificate - Gilmore, Evert_3/4/1976i;; `:;�: .z ;� -- �. ,. .t:' 1', : �. '. , • ' r . ';." ii� ' . . i r:�. '� .: LOCAL CERTIFIED ,.. , CITY-COUNTY DEPARTMENT OF HEA�H i. � � :,� �,. � .' • ,�� 1�;'`t;�,?? �' � • �! RECORD OF . DEATH �% City of Evansville— VanAerburah Counry �' n �" . . .. � ' � _"�� .Evamville, lodiaoa . ',�• �i.... ;O.Y�. .��.1.�� - .� _:1'tr snb..F . �. �� ..!� .. . , . 'a : . � ...-. . , . ; - .. .� . . ' � 'fiVERT GILMORE � ` �'' ' `� This �s to Certify, that our rccords show _____________ _______________ ___ ___ dmd,: � !�� ' • � r . . ,. . . , �. � -: •� :FEB.' � ... .;.� 24 '. 1976 ?:30AM . • DeGconess�� t;. il;?, :. -` --=---=--------------- ---at'----------=---------!----- ------------------ - � .� mantL � '(f� ' das .s<ar � 6our of deat6 •. .�tree4 huDltal or rvral � '"' ��' � r � . � > . .�..sc:',il�.:irsi;�"'_.: .;_ � . ..�: .� .. . ,� ' • ".. ' tr� rc is:. s,�' -�. ��;� . . Age at drath_ _�--L`Ses_ Male--- Color Ydhite---- � _Wido•aed_� } � �� --------- --------- - ---- -- - . • �nn. .. � . � ... �rite Mhether married or dn¢le :'�.�' � •. .'. .:� ..; . . i � � � � :.i�'. � . ' . ..• : • •.��•. • � • : ' � •. ' .� � .. , ' '. _. . . ::.1 �cf i�i:� , • ' --. Primary cause of death g�ven was------SL��BT�. QF_f.}t0.i8�j C:2DI'�r1------ -------- - L-- -=-- .. .. . . � , � 7�� . � ,. �. . ,� �. ' ;!. ��l;..i' iE ,i. � ' � . '.i(.:.. .. . _ _" '_ ' i ____'___' . " . T �1 . I ' r � .� „ i.. F�i-�. ' f . " ' t S�gned 6y --` H. F Larlsnn t = -------- - ----- ; ----�1� -- � _, _ � . ". i(�'_ i � ohnkiav or w16GYr .. . �-' . _ . ... 'addrs -, }i,. � . . ' I ; -'d t . . ' � ` " "' _"' ' ' _____ __ ' " ' .. . . � Eckerty ��' ' ` ' ` "Eckerty, Ind ", `` .,,� Place of bur�al or removal_ '.- . -- - � �, ' ' '� - name et eemc4n � �ddrs �'..' - � : �� : .: i � � . � : . . . I' . � : r .' :'._ . : i, p ' j! �. I - ' , 2 2 � 6 ,. Colv_in &' Son' : Princg�on,= �n�, � _ � ! , Date of bunal - 7 7 ---"--- --- ------ -- --- , . . � . ; Fu ral D�raWr � �d� C � , ._ :.: � � � � � ��f N /,�a�-�,�.� h�.D . � � ; � $igned� ---'-- '------=------ ------- ---- -----Registrar. !r ,c�� .� � � .t' � y �r � -I r - � 1, .. -.. ,. . . ,..: i i . ,. ... � �Evansville; Indiana ' � " ' -;.(SEAL] �ib :�- ( • :'ii�'..'�.�•_-: , '. . . . . - ", t�. "___' �-i>�`�__'_"_ . r+ � r .'�ti.. i � { ' ' NOTEi �Recorded' locally in Book No. --+� 41 — - -- Page.\o. ___-__--� _: , ' .. FEE $2:00 i:;- ` -'''; ..� .. � . . � =-. . . . . . —. . � . . '_•i��;. V�➢��iHL1Dl�➢��➢10➢t�Gl➢YGCBii�Sil -.. -.- . �i'_ -tj!:-.i- � , . .�` .� L''_ � J .I: . "r .- _ • � . �.i,- _ _ � . .. . . ' — _ .-_ --, - � . - . � � . . . . ' ' . : ,, .. i .. :�:: ;;:: :,.. '�si � ;( � . � r� . ' ... : . . i�! .. t;�,=.,' _ >��; -'�:.;. jA c I (i'. �.. `~.:� ; �: •�' .. '. _ _ . ._, ��';�. � •e. �: : . . '_ _,