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Death Certificate - Smith, William Dale_9/22/1971,_ _, �. .� __ .:� 'CEIiTIFICATE-OF DEATH �� --` A . - _ - � _ � � . - , , DEPARTMENT OF HEALTH , - _ _ -` - ' ='CITY�OF VIl�TCENNFS'OR�COIINTY OF HNOX _ _ �; .. _:..' _ . , � • - . . . . � - . Ce�ed Remrd: : 902 North Seventh-V'mcennes� Indiana .:: c. .0 _ . - - � `of De'ath:. _ � . -. ° _ - . � � - - - Name ' l(lc%�wam DuLe Sat.tit• ..' � p� •� 60 1�w•aased ori_�tntt�el,p.. �tT/97�, '� _: . . _ - . � , , �'la�e - Mquied �i e- Mel,eK.�rae.tli" _ . � r . - . u„ � . . _ SeX � .- -Marital Status � _ . g . ..-, _ _._- • Ce �. Ur ."se.� " � . ;�: � Cause of Death _ `��etaetoti.c: catcinoma l?io.rchopr+¢wao,sca.`- f _ . . � _ Ceinetery �Pn.tqe°'+ Addsesc �out��;�.vlia.:., =� - - = � �� -;iood �amQt�tan Mqepe:tal •' ; � lli.iceasea�iidi.a,ea : - .- Place of Dea4h Addreec - . • Deceased.the hounr of S..w32 /�.M. . _ �,� Bnrial Date -- -�eoteabet �7, /971, c � � ,'.� . . . . �.f'BQG!!t1071 7!�7LEtQ`.�OQB: . � �� _.�[ _�ILIYl� ��%1(ilnkii-� - �t . . � �eral�Dimctor ` Addres� . � - _ -�: , - - - s. . = , - � PhY�a�C F •k/endcuC M;D ' � ' . Uuscewrea;_�9nd�a,ta- - ,`..-: '.�=Comner.-- - ; ' _ P,ddres's - - , �. � .� . , _ . . . , ._ ,-r J- Record Book IVo.�-2�i page No. ��9- lsue�D, _ -�s:teed�et 0' - � :, ,� _ _ " ' -_ � - �� t, ^-,: . SF'4T. . , - . - _ . � - . � , F � �' '�' � - � - - _ P.alih OffiC21' . _�. , . �.� . �� . .. �. :'. e "- +� � • _ � . , . _ - '_ - - . , _ . ' . „ - - ' ' i . ' . ' . ' . . . . . . . . - .�. - - • ... . . � .". .... . . " . . . . .` .` .t. ' _ '- . , . , � . . ., i. � . , _' , '._. .'� . . : � . ", , _