Death Certificate - Scholz, Hattie Josephine Gertrude_9/29/1972iOCAL CERTIFIED
RECORD OF DEATH
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-COUNTY DEPARTMENT OF HEALTH
City of Evansrille—Vandcrburgh County o 2036
Evansville, Indiaoa � •
HATTIE JOSEPHIPIE GERTRUDE SCHOLZ __ died
Thisisto Certify,thatourrecordsshow_______________________________________________________
_ �U?� ------- 3---------1972 Dr'.aCOidr'SS_HOSPITAI.
-------- at -°�-------- ----- -----------------------
month dny • yeer hour of death street. hoaD�N� a� rvrnl
72 Female tdhite t^arried
Age'at death------- Sex---------- Color-------------------------------------------------------
yean write wbether marricd or einR�e '
Primar • cause of death VENTRICULAR FZBRILLATION_ACUTE A1YOC,1RDIAL INI't1RCTI0A
S given �eas----------------------------------------------------------------
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Signed by C._ M. SIAIiJ
ph>aicien oA��r
EVANSVILLn� I1'DI.'vIdA -----------
�ddrme
ST JOEI[4S ----------------------- BUCKSKI:i, IIdDIkNA
Placc of burial or remo�•al------'- ----------- -----------------------
neme o[ cemeteq addrae
6-6-72 -------- COP.N ------------------ OAKLAND CITY, IPi�IAA'A
Date of burial------------- -------------------------------
Fun<rel Direcmr �ddrme
SiFned _______ ��' `'� � ��t�'� ���' _____Registrat.
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Evnnsville, Indiana
NOTL: Recorded locally in Book No.
-----9 _18_�z
aete
37-------- Page No.---114
____ [SEAL]
____. FEE $1.00
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