Loading...
Death Certificate - Montgomery, Lois Caroline_10/28/19751 ; ; � 'l: l � w� � i .. ' I1 ti..,�:.:. y. a t ,_ ! � - ��i �.I � , f �t y �1 �( � r I. : �; � (; �a ,¢ :1 � :� . r : �. { itv. .. . _ .-_. _ _ ,.. � � ", .�_ _ , —_ . . ry: y � 1 � '�_� � ' . � K ; Y�• t � 4 ��tE':�-v+'. t - .. � ., a ' � i .o ' �' �. ' i �. r' iL�t *�� V,�i �#. ti- iL �.ir 5 bY_� � �i�?� ' � � �' �;' �_- �, iy " t . ! . F � i,:�;.f. � - - . . . .,_ : t�, L' CERTIFIE�D,`,,, , ,CITY'COUNTY,DEPARTMENT. OF HEALTH; tD'OF.�DEATH rii� �Gty'oE:Evans'ville—VanderbuigpCountj:� "� ;y. � : � `�p i`E�"amville, Indiana ' ' - - �..�, ;-. . s � . � � �. .. :, '. .'.. e �� to Cerhfy th9t o�r records show __ �IS CAROLIP7� MONTGO oy:? Y 27; 1971; s { m`, ; _ J�� 20.P.M Welborn Bapti �.;. . d�1 - se r z 6ou f d eth � - �t ee4 h 4 � ) 1 .- � �� . deaih4 ��58 :S�z Fe ' �r7h` .. :� . Color • _ 1"13I'T�@d ` � �;3i. Yean . � � - f ;. !�. . . .� ' 1.- . : � � � ;' c " wrtte w�heiha +�� � `" 4 Acute+myelo monxyti'c,`leukemSa :cause of death�given'}vas_ � �� Y 4 _ Y' 1 Y 4 3 •. � . .. . � � I :� /a� _ _ _ 6 Y _ T W 'Ciark r .Cl --, ` %- . D6T�m�n.�%�ji� ! - _ - _.. _ � �.` � ` \�� . �� -.,� �.. ! i . � � ' - Benson -• bunal or removal ______ ___ r' ___ Oc:ensVille� Ii � : . r . � . me of cememn ' . . � . '_. . bu�ial 11_?� �1 '.Ho19er � Oorensville, I= ; ' • - � y � � � ���I9� - + --�Fune 1 Dvector A -' . - + l.;. 1x � - illW �Il .�/I" ��'�7T/�� �R/ .. c' ' � .-., �t ..., ., a�`, �_� - - �-- Reg�stra�:" � �ville, Indiana � a - y � � � � o z8 75 � {, :; --- ------ -- � ' •; -;i d�4 � ; ' . , ..__ e: , i. 36 , . , ,. •;. �Recorded locally� in Book \o __ ___,Page No.___�35_'____ _ , �.. � . . • f � .t �,F._- • � •T•' � �. -i � . , .i , y�. �� �: . ry i ' � S i.'� r `'_ c � ' - ._ . . � C.�_ . , ,. 4 }en -_ r f� �.� !i .. DO } � t il " d �,v. tal � �4 � .a \ S�t � .. a� --` }: � '� :4�ed �t � ` `�.#5�-f�t.d� M.��� .: : :' n . z ti. , �a '; »ul�o� rurd° M I . J t � 3 �a�y� • � 1.i � � ��N J�P{Y lM ,.i v EA wt �Z �r �� r Y ea iM or doQie`� �j � t ��T �`f -- ,w�Yw ���Fr�:� f�' .-. �-- =y �#=--- r . : Ft+, a- �'C;� � i: j j� .. ;� �' 9 r�i Y�� y, 4J� t� �iSJ1<+,�3 ��' ._ _ _ ' �._j. + - a � � ` ' i '�'' 45 �a. .; r r�. t � ki = . � w'� �_�. ' ' .ddrm..,� '�� '.. i 1 i� l �.. <.�` i rf . 4 i , �;µ;wfyr }�;� . .aaw. r -- i �.Ly . �. T �. vw t.: ,��o",; z;'x;�...'�x�. �< j��, r: s ! 'L. I, •,: ' �� _..- .. - _ ',._-�- - ---'. s, ` . [SEAL] . �^"+..�r � ° � ��� Y �? �ii�.+ � } ,, t, �...s a . . •. ,-� ': ' FEE'$2 00 `` �: -�.. � "�4� �- k T � t:s t. � �T4 ` w.: < �.:._. �� r =..,`_� ,-...`_ ' ?�