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Death Certificate - Newkirk, Lanson James_6/25/1973
I LOCAL CERTIFIED CITY-COUNTY DEPARTMENT OF HEALTH , _ RECORD OF DEATH City of Evansville—Veuderburg6 Counry AT� , Evansville, Indiana . \ . � 8 � 41. . . : ,., - . I.ANSON_ JAMES_ NA�IRK . . This ic to�Certif}', that our recnrds sho�v-------------- -------------------=---- died . . ' . . ..g .. ---'-N�---------?-------- 117� ---- a� 10s 30-P.M.----------�-Deaconeae • . ' r, � . ; -- ------------------------------- month � dq� � yenr hovr o! Aeeth _ , etreet, hmyita��or rpr�l • ::A 1• `.-,.: . ,. °_+' . ... , _......- . �'�.,. .. �. ....e' . ..� ...�. :-. ' �.--" . ' ". "�.'-r .,�r. ..« . Age at dwth---�-- Sex---Male,_ Color_ Wlt. -----------------MaTP18d _� _� yeen w�rite whether msrrled oz dnal<:. '' ' "> � Congestive heart failure - Acute �+ocardia3;infarction . Primary• cause of death gicen tvas----------------------------------------'--------'------------- . - ---------`--_- � --__---- =-__ - - - --- . . _ _ � . . _ � ... :. _ _ _ • J _� __ _ � _ • . . ... j�: • Signed by _W.S._Mullican ------------ City------------- ------------------------------------- ----- Dhyvicien oxx��(r . ' �ddrm : ' . - . . '. ' . `. .... -!.. �. �. Place of burial or�removal--- PF9�i��_T!Ce---------------------- -----FT311C16C0�---.s_Itid'.------__. . ' nem< of cemetery - �ddtw . � � � Dace of burial__6-S_�%�----- ------�rn ---_-Oakland_City_t_f7nd.___-"-_-_ ' ----------------------- ` � ' � Facer�l Direemr � �ddreu _ " � Sitned ----- -----�?s`St3_._0=_ �iu'LL� �C!^'�_Registrar. . . -.,�. :': "- _ - - � . . . .. . Evansville, Indiana ---_ 6-15-73 --------- - ' ' [SEAL] ° ' . . . . . date � .. � ' " . . .. ,. , �.: . � .., , .• .. "2 ,. , A'OTE:� Recorded locally in Book No. ____�__`______ Page lvo. _____"______.� •�',. � F'EE $2.00 :-