Loading...
Death Certificate - Hayes, Lottie_3/26/1973.. LOCAL CERTIFIED , ; RECORD OF DF.ATH - J! . ' � �1'Y-COUN�Y DEPARTMENT OF HEALT� City of lvausville—�'anderburgh Counry' E��ansvillq Indiana , ��� ��J�� i:�� � ' .This,is m Certi;c, .hat our record; ;hmv------------ ��-1-3�--'_AY ;5--- ----------- died ii L3 . - � ,.��- JA2J. 8 1973 ,,12:15 i'.'� � � �i - . . - �OA �� " . � ,...r•,� , , ..-, :.. ------------------------------- • ------------------- ------------- ------ ' �i.- moath d.,>' ycar huur uf.dca:h evo.:!. h.�,Vic�! nr rurul ♦ p,. �.'.�.:, _ . .. I.:. ` , � -• , 61 Fe,. '��• "�-rriAa .�_. � .A�e at death-----_— Scs-------- Color----------------------------------------------- `��'' . . r�n:s ' ..n.i ,.r.��he. :�o�riud o. , ,s�o i" • ' ' -; � �ronchial pneumonia - i. � �. Primarv cau�e of dead� gn-en �oa>.---------------------------------'---------------------- i i . . � � ... . ... . . --'--`-------------------------------------------------------------- ---------- � � ' - ---- -----.. '- -_ -- - - — — - - - - - - - - - - - — -- - - - i : �a T. Comb� ------------ ��----------- . •o . •. _ - - , � ' �ened by ' ---------- --------------- ----------------- �.�. . K3OPT7lF,� a�•a�•.� . aaa��., - ' - ; ;'•'; � � ' Indianap3lis Crrmatory 7rn9i2n�ralis, Ind, ' -�_ • Place of burial or rcmuc:d-----------------------' ---------------------- i: ---- ---- .I '- nnmc ot e.mr:ery ' nddr..s �' .' '.Daceof hurial_l�li_%3-- �oona----------------------�ity ,1 a�����:a.n�... } � -- ----- --- a��,i.��, -- �i:�:: . � . . ----------- � _. � . / �% /� fj ��:. �. - . . ,. Ilf"k'i� �T. /'v/ZLZ%L?r.�!`i �%%:��_P.�•t:i:tr�r. • ^ � S�gned � -------------- " i _. ------ ;� •�..Evansville; Indinnct 1-��_73---------- r;�:,L� � n--------- 33 r:�i� ��. ,p , 1\i :.� A'OTL: RccnrdeJ I��calk in liook \n. ---------- Pa�c No. _-------_----• �"�+^9 '`li' � . . _ . -- - '___�_�.._L9!"�_^- __�_ .r__��� � f __— -- - .- — -, .. .L� : - E: � � � ----- -- � �, , _ _. ._ ... . .. .. . .. .. . . Y �