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Death Certificate - Halwes, Everett L_8/8/1977,. '.ni.r.o-r:�=�.N;nrti�.rn�i.r.r.�:�^rd.f�,i.i:��i.i.i ri � r�ri.rre:�i.� i� i i i i i.i n.� i r� rrri.i.i i i t ri�ri eri.i.rrr :r�:i.t � i i ri i r�.i i i� i� i � r�-t i�� i �.. �i � � ��;: ��., i' �i, � �i.-' � ' � ' 'iLOGAL CERTIFIED ' ,• CITY=COUNTY;DEPARTMENT-0F HEALTH, ( •;f i•._ +: RECORD;OF��DEATH' ' �'��c��yofEvaoeville.—VeuderEuighCouuty' I� �'1,1�Q � ' ' ' � ' � • ' _ .. •i . . • . Evaoeville Indiana � ' 1\ �, �i �0;4 9 �` � . ' -. Th�s is'to.Cert�fy,.that our}ecords�show__'__ - � EVERETT_ L_ HALWES ___� __-_ _ �.died • � i � .I�' . ,.. i .- . , �ii-. r r.. .. � � �Y -- --- 22__ �_19.77 :� ._ at 1AM _ _pe@S�S2IL@.�.� ---- - '�montL, ' d�> : .>ear 6our of de�th. •--'__- '-"-' �tra+;�hoDiui m rnral' �. , � �.- • �� .• .. � • � • '• ..� � , ' � � ' . . ' � � .��. ' , � . i '.; Age af�death 57 _'_ Sex 'Male__ Col'or �?Ste ____________ ____ i_Marrled � ___ _' . 'I �. ' lun'.. • . • "_' . i write�ahether mimed or �inde �i� , ,� y g�ven wa _ . . �. � � -, . � . , � j . ` Primar cause of deaih '�espiratory__failure due .to extradural hematoma ' , , . --- - - . -- , r-- --- . � witli• brain' shift-Fe11 from��'ladder: to,�concrete�'sidewalk •�. .. -- -------- -- -- --.-- ----- ---- ---- -- --- ------- --------- — . , ,, - Si ed b' D Wilsdn ------ --- -- - ---- C�ty_- - --- � . � Y'- -- ' _ ' ;��jQ�ar�oermq � . � ;_ �:I�iaara. . � Walnut I3i11 ' '� •Ft� Branch, Ind ' ' �� '� Placc of 6unal or'reinoval � ---- ---- -- - -- .. - .- -- -' , . � . ' �.m. ot « kn. � � � .aa.�.. - � . . � �� .li. � r�� I� .�: � Dace of burial M_ay 24_ 1977 Kendall : Princeton'Ind__ _ � - ---------------- ----; -- - -- -------- ' - --- -- � � � � - � Pvn�r�l Direetm � I. �ddim • ��t' �� .tJ ' C F /�,,,��,, 3i �' " .: _ � ' r4 � ; i S�gned , - :- ----: - -- V `'C!"'"•'. � � _ Registiar � «�5 ��. . ---- -- May� 31,�:'1977' � t[SEAL] �. Evansville •Indutna •. � _ _ _________ .' . (''t , , a,u . . �;a ? . , '. •� , •. , _. '; ' '.. . � : , , . _ , •: ,. , Y . , .. - �•�: '�NOTE: -Recorded locallv�in Book 10.'____i�� __ Page No _____ ___ �•�£EE $2.00 � � , . ��, � • �seemne�oee�aepaeoeeonnnoa�oaoemeos�e�nooeanonenaeeumu�neaeane�ea��aua�nacaauatsw�u�unr � ! � � ' , � . . ' . ��, .. �i � : . .. ' . , . � . . � . . ., -' .. . . . �. �. � . . ,t• � . ' . .