Loading...
Death Certificate - Riley, Alice Lou_11/19/1976i""' E+ . �u r ,r� i � a;. i . � t. i y � ..'' .i ,.� . _. r, -:��; i: f^ =4j :! .'. LOCAL CERTIFIED , CITY-COUNTY DEPARTMENT OF HEALTH �� RECORD� OF DEATH �� ' Ci:y oE Evausville— Vandvburgh County `� � - � • � � Evansviliq Indiana I ii.. , , � . . . � .. ''�'..:.r . � . �� . . - .�.: . . Thi� ' ' •�' ' ' ALICE LOU RILEY s is to�Certity, that our rccords show_________________________ � .. . e ���� , � - . , ' +' :'j� t:- �'}' f���. � • . i 3 . • . �' '' ±•'� t• � �., .,, . . � N° -''�:50.'�1 ' ��, ' . . �i.j." `.1 - , �.. , . , ... ' ; � ':died ' -' � , ...._. . . � ... --------------.-.---- � � . . ... .. .. .. -� ..� . . _. -:;;9ULY..,. .•�;; 27 � 1976 5AM • '. -------- 700 � $tieridan', Road '�':=; � •� : — -- - a� ---' - • ------ �y�+�moethl. _ ' r d 9. - ' �ear hour o[ death � � -' -' �treet. hoe0uel or �rural f 1. t-� � ..Y 1 . { . - . . . • . . i .'. {.f_�_ tfi'. . . .�.. , . , . . �� � , ... .� . . , : , Age at deach 55� 'Sex----Femal�olor--Whi'te---- -- - j�ar;'�e� '�r � �, ' .1 1 ' �>ean - _--• . urice ahe:her marnM or �in¢Ie." r��."- - � :.. .l`. ,`i.: � I�'. • .�.. . .. � . . � �, .�" • �� ' - '�'� Myocarditis ' � � ' S� +i ' , � • : :, . � . ._ Pnmary quse ot death g�cen was _____ _______ _ _ : -.. �. IEi='°• .E, ��,��,_ iY; .�.',� ;t�:'..;ri'=' .. „ ... � -- - ,---- ------------ -r-- -- ���.... _��. i .. . •� �' n !��. �i . � ' ' . . .� � � � I'. {� . . ,�: J _. . . . . ;: ea �� ,��Signed�b - -- M --tet� 1 l er.�_ , . _ . . ' Clt � ��t . ��� ^ �,I .Y. - --- ---- --- --- ------ - —�- --- x---- ,------ � " D�nieien otiG'bS'Dber ' . � • . _'__' _ '_'='�:y.•,;^. � • • . � � . .. . �ddrm " � :j � . . � . .. . . �. . , . � • , . . . ' " '•' . •� . .;i �St , : ' ,'Placeofburialoi.�emovaL_____Walnut Hill ___ ___F�. Bxanch�IndA__________ ' �:r. � .�•.,• . �. . . .i� . nnmeo(cemeteq ' _______ . addrm'� � : t�. °i.:� , � , `�;`i � :. � .:�.�:��` f �: .`� , , ' � .. . . � �' Date of bu'rial----Z 2�=7fi - ----�totlghill------------- ---Et.__B�anch�Ztui�'_� _ ' � � ' � . Fun<rnl Direemr �ddrs . ''� � ; � . . . � i .i � `• �I�.V. � , � ` 1 � ' S�gned�'� � -------�-------- --- - - -- -- — Registrar. � � � . a ;i . . It , : , ... . t;: � �Evansville,'Indiana� . . �' � � � ---- 9-23-76 :._ [senc7 � •. _ � � _, , i , ., _ .. ' • -----aa�e -- ----- . - � . I.,. ..�,:- � r. .. , • . � . � � . .�-.� � . . . _ . . . :. . ii,:' . :`"NOTE:'Recorded locally in Book No. -------_ 41 _. Page \'o. --------_ . �� � .•�`. ; " -----. � • FE& $2.00 �� �::,..�....,,.......�se...,.......,� ..............._�..a..^...^.-.._---------°-------------- — � �:.., _ ; �: •:. _ . „ . . . : I� � � �4,: __` a : : �, ' ,. . , z , 4 E � :i:.._.. :'1 :