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Death Certificate - Kerns, Elvin_9/8/1976- � "' rr� : r ' ' I-. , . . . . . _ . . u ..i 1� '�1'i'; .; .: .i •i '�,.' ' .. .. r�: �i^ ' . �� ` �' �. ' ' " ? . �' . ,,.'. '� ', : - ; ' I. ,�OCAL'CERTIFIED =_ r CIiY-COUNTY DEPARTMENT OF HEALTH - � `� �•,• � RECORD.OP DEATH Cicy of Evamville— Vanderburgh Couuty �,' . . , O � g. ' - . Evansville, Indiana '� �. , � �� 55f 3 �.� , , # :� �':' ' `" � a , ' � �. �- iTh�s is to, Cerhfy, that our records show_ �_ ELVIN FCERNS .�. �- � ��-� dmd � , E, _AUG 30 1976 ,a�10:20 A M. Welborn Baptist _� �s`�r ti}`it t�. month �.t . � dal � re �. � hour of d [b. . •heet.�hnDtel or rural i .�'r � ' - . . ��t \ =�� '' � irl 1 • 69 i� �'i�- �....• . .� . _ r -.'ti4 l. .4�1 n i'-� Y.., . � ' ; Age at.death -__ ` Sec--- Male_ �Color_ �- -- - ---- t-- - !,' � _ !!� � ,�, } • , `Married• I .' - ➢eaee , • . . ' . . . � wrLLe a�h<ther married or vinYle Y � � �� l I �� .� � � �'. �; ,�, * Acute myocardial infarction' � PnmarJ tause of death given was __ .I � . � _ . - - — -- - --- ------- -- - � r� . . . ' �. . . � t,. .� .I� � — -- -- - - - -- --- - - _, � � . .- -- - �---- 1- - - -- �-- ' �� a � �•'. '.' ° '' _ . . ��. . . _ � ;., . � , � •� ,'�Signed'by :. M.�_Faw _------ .. . ' ,City . • ��' � � � �Ohy�i<ian '_�{� �j � 4'; i �. . . �JD�P4?€4C . . •` . . ' . � tddrm� � ��1 ' . � � j � � � + • • �� Owensville � ' Owensville, 2nd. � � �`�a" `, Place of;burial or icmovalL_ ____ _ __ __ ___ I , � ; - -- — • ----- - -- - -==� - " � ` � . � I�� neme a( eemerery . - addrm I-` 1 �� ' Date�of�banal-__� 1:_�6-- _-- Holder-----'-_--- _- p�.�ensviIle,Ind: ��,�.. ` I. � . •..� - i ' y � � /. �. .,� �' F�u�neral Direpetor.� "". __ "_ '_'__' �ddrs � ' � �,: � . I. Signed'_ --_C� --�---V `'r�",'�1 �17.0, . .' � F � •_fr t� . _ i ' . . �_ • ------ ------- -- - Regist r. + , ra . ' Evansvelle' Indiana ' '' �� .� . � � �41 -------9=�-Z6-- --:-•- , [sEai�,�,� � � . • . , a.c� . ' _ . � . .. . :: .��E � I ; ' NOTE�-Recorded locally in'Book No -- --__-- - Page \'o.-_: `__-----!_�;• , � . � i! 6immuartu�enrtnacuunnapeuunuurt��ucu�nucnenennneua�nuu�uoQ�onoaQOnna�ono _ $2 00 :.1;'.� ji , , .:f . ' --- — — --- - - ---- - . . . �� :, rii �� r .� . . . _ -- - — - — ' .a . -��' , ( _ — - ' , a . _. . . . . . �r . - . ' .. � ♦ . � . " �� , � . . . - . .� ' . . . .- . .. � . r ' . . . - . ' . .. :_ r. .,''C�_..� �:;� �..... �.�'.�. .. _ ` i��i�....:c.�:,_,... .. ... �-� - - . _.. -r: ...... .. . . - ' �