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Death Certificate - Romerhausen, Charles E_7/24/1979_{ " . ' I' . • . : . . _ . . • • . .'.1 : ..��•' . .. . i��- � � . i. � . . � . . .� I.. . '� . • � _ ��[' �. -��r � �11..-� I-/. " I � i 1 . . .1 .'. � �. ��." � LOCAL-CERTIFIED ' �, �� CITY=COUNTY �DEPARTMENT. OF HEALTH, ; '�,,;, � , '� '�� '' j�ECQjt� QF � ��1jF{ - � City �of �Evaneville = VanderburQh County', �: . � '.�T�.�� ' - �� .. � . , , . . . � .-. Evemville,.lndiaua� - � : 1\ . , • This is to Cerufy, that�odr,records show __ CHARLES E__ ROMERHAUSEN __ __ _ �_ died ~ .- --JULY 5 . 1971 7AM . N,e � � �. :.at _ 1b4X ll -- - -- - . .movt6 � .'d�1 . "' '-.� fear� . houi af deeth'��" _- "� '�trM..'haDitai.ar.rui�l � �. . , . . . . � , • � . -1 Age a[ death 43 __ =Sex Male , .�o�oje7hite___ ___ _ ______ Married ______ __ __ . : )dts: , � . . . .arit2�6ether m�rried'or �ivple'- , ' . .. � . �Pnmary�cause.of.death gneri �r�as_ "CaI'CinOma�� Of lung _ _______ ________ __ '___' ` -«t'_'rn_ . i�. �,.' ,ir• �� i{r' .� ;'i _ .t r.'' !' I. ' _1'� _ t ' i•` . ._'� _ __ _____ _ � _____ ___"" ' ______ "_ _"' _ . . ' . . : . . .. . , - - , ' - ' . i � , . . � Signed by T _TCL� CTdS1C -- -- -- �— �-'�t�' --- -= ---- ' . DhnieiaXX}�i°�.. ' • - �. Wdrm `°i �. . . . .. , .' - . .� . .ti. . 1 � � 'Place of bur�al or removal __.White Church ; _______ _ __ _PrincetQ�� IR�� r � ___ � . ' . • ' oime af'cem<ten•_ •� ' _ - Wdrsi. . � �%�•_ . .� '• 7. 7-71 : '� Colvin -----i- �_� _ _ I Pr,inceton, Ind. i`r �. �.:r . •� Date of bunal _ _ _ � _ _ - _ _ -� �roneral.Dteeemr � ' .� I : .adxv, : rr:� . � • � n �1.� � �% � .' � ;�i . �i ." .. � 'S�gned . _- - - �:l_1 ��'L � __ Reg�strar }t •: , � '. r •.- : . ' . . ' . . I , `.' �'i _7 13. 79 -'i, = - . [sen[:] - : E'vansviUe,.I' na.• , - --- -------- - : , �.v �;- • � , : ' •' � : �' � —_:.: :�,: . - ' 'NOTEc Recorded•locally in Boo� No. '_36 4t' . Page�No �5---' �-' •�' ' FEE $2.00 •' • .. . : : . . . . . . . .. . . , . . . . . . . � �'�� ., . . � . - �i: , . '� , . �':. �. � i _ . ._ . _ .__ _ .