No preview available
Death Certificate - Holtsclaw, Virl R_9/2/1976� I. .. .:•i.l.... �i . '�.,. �� , • � � Y Sy i � ,, ��t,, .' ! � � .�� � f � °'. i�k( �i P[ 'j� Sti � � �'-�--s v, . F T;� � �� �. � � i�' �i � � ' 1 � ; t� �L s 1 r ; � d F��� I D I �5: � � L C »� '{ , ��� � S'� ` �1-' � � : ,,,, � �i t ,: s .�r_ 't �' .. . .. ' . - � ' ti � • !' .. ",jl� nj� •�� � . � • i � . !.: ' . . . '1 i4. . - ' . � � . .� .( _ ] 1 . . ; . , ' � � . . . . : , . • ' . a : :AL.CERTIFIED � � CITY-COUNTY DEPARTMENT� OP� HEALTH ° �,t ^ ;-.? :ORD OF DEATH _ . c�ry of Evaniv�lle'- Vanderburgh' Counry �' t p�,T �^ .,.i�..: � , r, ' � , Evansville+Ind�ana ;�- lels ` ;i;� ., .. ,�1 . 1 . .j .r : � �_ � � x , t� ��� � .. � �. � � Er : � s is to Certif � that our re.ords sho}c r � VIRL R HOLTSCLAW �� � ' Y� .�{:� tt �'�� rf - •i � � � i �i - S 11�� 4.;NdV ��'� 1,- , 1971 _` a 20, F M. Deaconess 4� � 4 �.�i����s ��{ �+jt�dw -' � seer �� hoiutidt death � r I�� ' I ei eet timD��+hm ffia y" 3 eChc �n %-�, i .t ' �.i f f. - D". t� r'_ i � i �i t�� { ` ' 46 � ' • Male . Wh , . , � _ t . Mai'fiied � � � at'death _- +' Sex-- ---- Color----_ '- - --- } � _� � � �. yeen .� - t - � ' . l }'.. .write.whether. mamed oz u 5- `i•� '` ' `"� f 'V� h�ltiple �lmonary emboli+ ;Chronic,bronCh' �rytapse.of�dqa7Frgrven���as __� ___ - � _ .� el tY � � �E j{I". I .. - �. li � : - �... _ � .�A _ � ��K> > > er��tr,�sema_ _ Cor �ulmonale � � ,iTf f io,ji - � � '. �!" '. t .. �_ ,�-.::r, . �}� 1 ^' ed by'W S: ISnllican �. ` -- .,City c ' '` .a 4 ¢ ! ; _ _ � _' � j LPh9slefau or7Q0IdFr . . � t. . � - . �. addrm ,t•. i .; � . IOOF. ;. ' `. , . PRIR'CETON��TND , ,',,,_i �o r , � e�of�bunal�oF;removal - - __ ry-y:; ��� � �.� name of.eemeuq t' .. �� ^ i nddx� � , i,i11..++ 71 . � Rendall � � ` Princeton, Ind. ' � � of�bunal - - -- ---- ----- �- -- - ,T ° � � _ 1 p. - , ' Fl�vernl Direemr � -, � .Y1 �� addrei � � /� .i.i..i..:�� �l: ��:��.11' .. �w_.�..11-i�.�_.. �n_ :.n �..A'ia. J .' ,-: � �7 i .�i ��: � t . I � . 1� _�r� �� � � S-�� � '- e ��:. y �� � ��i .�a. � . . • .�:nl.. .. . t�.-.._ , ��:.�lal&Q'ZctP�2'tL�`tx /r/�e'Reg�strar �lt� "y g N ' �,. �r, . -` .,�. �' ` i. ' ri i . �le, Indur.na , , - � 1 �5 � ' � �� >' � i - + ' � � - ` «. 6 , t date t i r , . orded,locally in IBook \'o. ' ! � 3 ' � ' Page \ 0 221 __ ' � t i t, � ' 1 _:; �. � ' . .-i. . . -- � .i. -�i ��y� ^^i..•P ..4;� �".. .� .I; t �� 1 � � ♦ u .. � .� � i .. yl....� �... �.. • . .� . . f. . .. . � . . . ��� � ���a < < . � .. � � . !. .. . _ .i . 4 . . . � . � .. i. • . . . . . .. v -' [ ! � ..r�. � �� i���';; ��_ { Li � ',. 'fll ,.,:'v �; i ' � �, ;k:y' e :i; �.''"� +� ...v ��f n ��r?� y h. 'Y�� II�i � i ii ;� � r ; � r, �!, � �'.i i� : '�' iq -' �Zy �s� � . , ia;�': �. � . �' r�`n•� �+ `• � � i � t� t' i1} � ` � 1ytii� ����'. 1 �� �-�:.�j �i� . � �� i � .