Death Certificate - Hirsch, William S_1/22/1996LOCAL CERTIFIED VANDERBURGH COUNTY
RECORD OF DEATH DEPARTMENT OF HEALTH
6ansillc Indiana
N_ : 1911
WILLIAM 5. HIRSCH
This is to Certify, that our records sho�v__________ ____________________________________ died
MAY 18 1976 8:45 P.M. GOOD SAMARITAN HOME
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manN daY Ynr hour ot dmN slm4 �sPita! or runl
�atdeath--79--- Sex_ MALE---- Race----- WHITE---------------- MARRIED
ymrs marital stacus"
Primart� cause of death given µ-as____ CHRONIC BRAIN SYNDROME GENERALIZED ARTERIOSCLEROSIS
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� DIABETES MELLITUS
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Signedby___E_D_ GOURIEtJX, M.D. CITY
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' phyucian or mromr address
Place of burial or rcmoval_____ ST_ JOSEPH CITY
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�ume o( eemetery sddrcss
Date of BuriaL 5/21/76_ FOUNTAIN TERRACE EAST
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Fumnl Direcfor -
Signed___� a!r��������._____Fegistrar.
�ansville� IftC�UlftlY JANUARY 17, 1996
_' ___"_'_�4 __________
\OTE: Recorded locall} in Book \o. _ 41___ Page \o. _ 101 Reg. \'0.903 __
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CITY
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