Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
Death Certificate - Gwaltney, Newman Sylvanus_5/10/1976.;�. ,. . �::� �: . ;, . ; : ,. > ,. S, . . . . , ,, ;;,j
.I 1 � i . . _ . ' � .` ,' ' . . - . -�' .t: i .t'.�- t t�- ��.i
fmt�tL��0�C0fQ�OQf�RG
�` I ° LOCAL CERTIFIED . CITY-COUNTY DEPARTMENT OF HEALTH . ' •='� � � "
�9', RECORD OF DEATH c�ty of Evansville'—Vanderburgh Counry ,r. � Q����j1 i�
. � I ��i` a • - Evaosville, Indinna . �O • .. ��'� Cro 1 1 � � �r
�� I •� g ' . . ._ ' ' � � . . . . . -�� ;r ._ �-- . �-
' � . � ': . .�.. � .� -?. � . � �,� �� :� . . . • � . �t� � �.
I' • This is ro Certify, that our rccords show_____ NEWMAN SYLVANUS GWALTNEY '__! _= dmd
��>.. � i(+: ' : . , • r
�., •..
, I : I�UGUST__ 3 1973 1:15AM -------- --Jdea.bnxn _ _ •P�
'------- - ---- �� - -- - t
---------
,' � I � �• -' montL dq sear hour ot de�th ' , �treet. buDit+l m�mrJ it) � ��� `
� ' ` f ' = � 62 . Male • White ` .' ' Married �' "' f� �� 4 �:
I � ' 'Age aE death________ Sex_____ _ _ Color ' ---- --- -
------------ -------------------- -------- - .
' " � ' 1e�n � wrice mheiher m�rriM or dn[le , �+i- �.
. ' . • . _ �ii : .�
- I ".•°Priaiary �a�se of �deach gi�en was�?lmonary_ insufficiency_ ___ChrQnig,'9izg$,Z}���yQ;_�unc
' ' i
��
� �
... : '
I, • �1
: I
. ii'
� �:�
I,
�.
, .
. � � �:: -
' '.-.. . . . _:
, _ � , . . . . . , , "
. . . . �. ' ._i(:..��+� . '� ' '
., .
,, .
,::
_ . :. -"--ct_--- •
' '_'_""! "_"_""_"___"_'__""""_'__'___'_"_""{�3.SE38e"'_'____"_'_".-'. . .
��i . . - �. ' � . . 1 .(i :': i�' _".•�' "
' . , , . � . :..:,
�, • � R.'_D.. s�na -- - - -`-"- ------ - ---�t ,-�._ ,
-; .
,• S�gned by�- --- � . 3L'-`-=�-.aa�� - -- �
. . phnieie���� � ' �'�.
..��. . • ' . � • . _ .. �. :. 1 .1 '. ,..
. , . . � . . , . , _. . . . : ' '. , .. ,' i � � " t i � � � � . t . : .
��Pface of burial or�removal _ ___-___�Ta1AUt-�i�1 =--=------ --�'#.:- Bi'�3fte -s37tt� - -- �
. " . name o[ cemeceq �� - ,���; `��
.. '. � ,.' ' .'L,`•.°.�_i�._ ' .
�. . � _ : - . t�'.- �i . ..� '
8-5-73. Holder ; . Owensville;_:Iri_d'._____ -
�:�Date of burial------------- -- ---- -- -`---- -:- -- --- .aara. �. - ---- r..
� � . , Funeral Director .i
.,.� , ' '. � �
�
. . . . �. � ' ' • - '
:.�
.
._ . . . . •..^��.
� �
--�.;-�'t.i.c_ , �'
', $igned --- '----`-------�-\----�-------------------: -'-Reg�strar. ` ' � �.. • .... -':..:.`-- ,..
. � - � •-��. :i:
�Evansville, Indiana � -----5-� _�6� ��:�'.��-::� �.���;��sE�����, '�;�,.��,.
� : .. _ , a.�'-^_-,-,-- '. :. ,�,°.-. ;;�:�::-''_,°: ='';,-.
• ., . , , . .,_..,. ,.. __
. .,.. . ..
NOTE: Recorded locally in Book No.----3$-_---�-,Page No.lb2-------_-.-: �.' �.......FEE..$2.00�,•-
,.. _ - .. , . s
� — . -;. �
_ . . .i�� A ,-�t��..