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Death Certificate - Janke, Herberth D_3/14/1978
s I�I � . ��_ .� —,. _ "''IOCAL CERTIFIED �. CITY-COUNTY DEPARTMENT OF HEALTH o '•R�CORD�OF DEATH-,;,:.;, c�cy of Evaneville—Vanderburg6 County o ;;,. . • 1i� 6505 ° ~ . ' � Evaneville, lodiana � • � • n � � o ��'. . HERBERTA-D------ JANKF. °o �� This is to Certify, that.our records sho�.v___________________ __________________ died . o '____FEB______28 : 1978 55 A.M Welborn Baptist , a .. �. ,, ------------- ��--------------------------------------- ------------- o montb . dcp >ear , hour o[ deu:h �treet, 6mv��^� or:wral ' p :_. '. . . , .� . ' O • � "' 62 Fe Wh - Married � Age at deatFi_------ Sex-------- Color---------------------------------------------------- °o , yti� wri�e whetAer marti<d or eingle o "� � Pulmonary emphysema , with res�iratory � Primary cause of death given was---------------------------------------------------------------- °o . - insuf£iciency � o " Signed by -----`T`-P''--�r_v_el---------------------------City----------------------------- . � ._ Dh>�ici�n orgq[o,qq[ .a �ddrea �' � " , Owensville ____________Owensville, :Ind. �.•Place'of hunal or removal------------------ ----------------- ------------- . � . . � � n�me o( eexne[en e �ddrm ' 3-2-78 Holder Owensville,Ind. Datebur 1------------`- -------- --- J ------------------------------ . Funerd Oirectar � �ddrm __"___"_ ___ L � . Signed -- �r /� �-- --- �--b-t~�-/-�---��T,-�---Registrar. Eva ille, Indiana 3-3-�s [SEALJ ----- -----a.«--------- � '. , ' 43 - NOTE: Recorded locally in Sook No. ______________ Page No. ______________. FEE $2.00 _, : _ : . _. . . -- � - . � - �