Death Certificate - Pollock, Joseph O_4/21/1983� > � � ;; �L, t7 �iC; �;;,:�;r,,y�Y� �� , , rrtr ' t ti, 1 � �' � 1, �'! r1. . . •.. �.� I�r�� ..-,,��� ��. (�; ' :t:,�� �' i !�,�; . :r `d%" � �p' , zl 4�Y �� :. -� Y� �'� p �/ I V,'. f ' ' '�' + � �f1. !•!,''� � };±�:.'i:��ur�'r �yj .. ; N � N ~ N � !y0 D �� ���, N C7 �,]! W N '� ti n (D N � � �. � �� \ M 7 W+ t" :,: ro � � � I � '�. fi �' �I � n �i b %' '' � ,7 N F N N� ; � J I � fp � 1 � �� � � �� � �+ �,� , t� � � � % �m y � �y n � cn � �3 �q. ,. N � � P• �' �� � 1 (D O f O N� � � � i c�� k a. ::r m ro � � r O � � FDj i �' n' �1 �n �y � � �� ' Is;...� � �� �Il Y� �i (;F i�, � �' O \��j . �y� r-+ CL `� �° e� � �o � �� 0�l N • INDIANA STATE BOARD OF HEALTH FEE -$2•O� �x:nl Nu. ../W.,..:'...r!. MEDICAL CERTIFICATE OF DEATH (�;�o�r,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, �v,� ���"s�o-�e JOSEPH 0. POLLOCK ~M81C w"August w20th 1980 On MIM� MPMAA[F� NR MCl «�.r� Yn r��« �U-�� F�r� V�MII I\lM VMMII I W� ' Wn b�M.W M•.� lO1MiY p U111M ^�"�,�^s Whit .. 52 a� . `�" ��'" �02-21-1928 ,. Vanderbu. ,�� •.wouwa an.raw��wurro*aM�r� NWn�uwor��w»innq�-w...:....w...r..+� „ Evansville „ Deaconess Hoepital \�Alll/Y'Mi��u1• C11Y1�MVnN�CpM�11� M.MIp{O�MlV[IIM/iM�D. {yryryAjrpyy��.�ny�� D!C[�B(O ��� vnoOwaD.onpi1C10n...w. . Indinna ,U.S.A. ,amarried ,,. Marilou Nash { �rv. �ow` pi ioouo�� . . �- Mo � o�wr. ���^��^w Indiana Gibson ,�,,,,,,�,,.o,,,, ,,. ,,, ,,, Princeton urourci u�wt �reur u�orxmu � — DY19Ai0M1. � I ' Y M\qMG ON 1�MMI �., R.F.D. ��1 �.. .�.0 ,�� ( naaiac:nv.ws+a�ca��r nna�nu.rurJU.nw,w.nwnorvraw.nc ,., ,�. ❑ � � ,,,��._,... .d, ..e, ,.., �., YOM1<I1-YYD�M W4 Va�i �o�.us. o�i.x� .o. .o-� r.....`.isw „ Inpatient wY pCIMn IMI11M U � �nsiw rn. uwiu ,�u�•• ••YC�9 •""`MTb Ernest Pollock ,,. MLl�ired Poae17 �o wro�wn�-iuwn....._.� r.uw0�m�tu �nara�r�o . onuror ��.n n �.. Marilou Pollock �. R.F.D. Ol Princeton IN 47670 YM4LCIIIWIIOF.IIIYOI�lO1MlI1W��. [IYiTIA'M0IWIOIII�NI11��1Y�IO�Y IOCA�IpN pM1OMIw� ����I A�uo�„o„ ,•. Bi�rial ,� I:0.0. F. Cemetery ,,, Princeton IN o�t[ .w.nn..ww �ur�,¢n0a1-rm�srr ' vnnnues.a�.m.wn.nin ,�, August 22nd 1980 ,oColvin F.H.Inc.-Main at Walnut-I'rinceton, IN i� '� II.I1. 9P e.� o.o. �1 „` .4.m / ��f `r:,w.�� K j¢ <W.;L ��'Yf C�ueE ,i�( :• � �� i� � , �� 47670 �:..,:::�^ un �wr�or, r. wu. a w.nr ��. �....� �..�C.�i�rz.�. � ���s�-c.�,�.v� ,�. 9-i � P`O ,�. 1Qi 23 A. „ N.W! W�R1401�Q Mr61h�M1 ir�. rn�� •�� ,,,, Wi.11iam f. Houser M.D. 1A4tIML�pq1t5{—M�SKMM . � ,,, 350 f'olumbia �dite 340 Evansville, IN 47710 �—__—�urna.n�.�.:..���p J \ I�._• . Mf�1114N�D�Y Of��r�l���um�u�• /..a� �.� ....e..���..,.,/ 1 - ' —..5,:_^YL�{,5�% a.•., s I ,.,s.�a...�..��,,.,� ��i ���♦ ew.v�rr..n.�w�.r.� r�.. �Y 1 SflNp1.00] -- n[v. i0/n 84u Form J6�14 aF •.��� � �..... r..,..�....m�.wnu...uwr/ �� f.s r L�..-a < fs..w.v.s no���