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Death Certificate - McDevitt, Blossom Ulilla_6/27/1980� � LOCAL CERTIFIED ' CITY-COUNTY DEPARTMENT Of HEALTH RECORD OF DEATH • c��y o( Evan..ill<— Vanderburah Couory � Ev�mville, Indiaoa N° � 9859 7'his is m Certify, that our recorJs shuw___ BLOSSOM iJI,ILLA MCDEVITT ' ---------------------------------------------- died.. JAN. 12 19f30 7:18PM Deaconess --'---- � "-- at — - ---- '---- montSaq ----------------`--'-`-- le�r haur a( dwtE '_"___'__"""""""' �trefS haDlai or rvrd A�;c �: dc-•� 72 gemale ' .••��-------- Sex----- Coio�'h'—�e A;arried ----- ------------------ ,�... • -------------------------- ' ------------- w�rf4 �hether marrlM er dnylt Pr�mA�y cauu oF Jeath givon �.�,�__ Cardiovascular _eollapse_ Perforated si moid --------------- - - -------- ----------- ---________.dexezticulum_with_qeneralized_�eritonstis � -------------------------- Si�;ned by _______D. _ J, Carlson � ------------ __C1ty- V6Y�ki�n wmyppFx "_'_""""' "'""""' _"""_"_"_" �ddrw Ylacc of burial or remo�aL_______ Proyidence_ Cemete;y__ _____ Francisco Ind. . n.�,. or «m�un -- ---------'- -------------- .dar.. D,c� of b��l _ 1_15-80 Lamb-Hedges Memorial Chapel Oakland City, ind. �...i m.«�o. � --------------- ------------------- .aa.� Si�ned ------- . /�� _�` ��„�------Registrar. --- — �"�.---+� -r � Evansville, I �ann � �-2s-eo ----'--'-'---------'-" �SEAL] a.k Nn'I'E: RecordrJ lucallq in Rook No. _45-----'---' Page A'o. ------- FEE $2.00 -'-----• ]e��voe��ae�nsnw�we�e.n.......��.��______________ n P F r � � i i � ! i � { � ! ( / .