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Death Certificate - Sizemore, Claude_4/14/1997... i• i I �.. 1 i• t i � i i � ; �- � ,. .-. -:-- -- ..--- - �- - -�• -��- --,: . a� � 1 � oo � a a=� zli � �_ -- T �-__�:� ' ��� �� � . . . __ ; _:,:_ " LOCAL CERTIFIED' ._:: .. � CITY-COUNTY DEPARTMENT OF HEALTH ' '.' ' ,-- - RECORD OF DEATH c�cy;o£ Eoao,o;��� �.od����g6 �o�� .' N° .15623: ... . . . . .. . . _ . fivanavillq Indiaua � � - � � . - � This is�to Certify, that our records ehow._ —_rl ------------ - -- .- aude sizemora '��a«a': . . .. . ._. . . . . ... .. _ . ...._.a ..... . . . .. , ._ .. . . , . . -- - ,_. _ ... ;., . ... ._ . .. ---_9�t.--- ---14-=----19b�t �= _ c =- -=- --= ------ D��aa�es _- -- ------ .' movtn � av : - s� eoor or aeite. � . . .we+, eo.au.t w x�l . � . � � . • : � - - � . . Married"..' _, . ._ �.c � _ . . . . :: . Age at death --�-- Sex _ria-- . Color W� , _ . ---- --------- ---------------- -- . . - � . � .. . vrite whetLc marrted or ainY4 � .. . _ . _. �n . . . .�_' , . .. ' . ... _. � . . , .. ... .. .. . . . . Primary cause af deach given was -,-Coronar,�_Occlusion------------------------------------ ---- -.; : - , .. _ _. . i- .- - ..------ . .. ... . ..... . . . --------- . .. _�.. . _.:._.... . . __., . .: _ �_ '_ � H E.. Arendell _. City .:. . _.. .. ----- , .� . .. . ... .... � Signed bY � -------------------------- --------------------_---------- , , ------------------------ .. �0 . :. .... _. :. .. chsdfLu or IDEi78 � ... :.. ...... .. . . . . . ..' . :'..�.. .. - �- !"-: . . . . -.., . . . ... • : . . . . . � . . . . ___": "_ �ddxs �.' � ..�_�: _�. _ �Bl the Cha el Ft. Braach: Iad.' .::` ..... , Plaa of burial or removal -----'o--------P -------=-----=-=--- =--- - - ---------------- , _ ._ . . . ._ .- . --•: mm�o:�eemetaf. . - - - -' - .'.� .. .. �d�°-.� -� Date of buria! 10.17-6!± -_ -- I,aib � .: . • : ; --------- �t------- �'-- � ------------- ---- .. :.. .. .. ...... .. ... ....:,_ _ Bran d. ------------------ . . . . ' , �Y /✓/ac'z�RMZnI�G � .. � ; � - ,� . : �_ i -_, Signed -- ---°-- - . � � -. . • _--_-iteg�strar � �� , _ --- ��-,�-`-"--`--�------=-`-------=------ . . -.. .,, . .. . , , Evansville, Indiana .� � :.. - . ----=-1a:2c _6?� , _ . . -- - . : _ - � � . :,;o:. -------- _ � �[san1.] . :•� •;:: .,:; . �;? :� �., . ... .. i . .' . . . . .. : .. � ,.. .. .:.." . .. .._...... _.... . _1: .. - .- -... . _ _ . .� ... ....�. . :.__:.- .. . .. �. . _ . �.... . . . .. . - , .•i"; ' � NOTE: Recorded locally in Book No. ------ �9----- Page Ao. -- . _ . �I . ::=' . i i� �uu�uir�� -------------- � 1�.. .:. :.. ', �{..,. -•..... ... ... � ' .. .• - 1' ,�� • � ' ' .�. .����. . i ."li�.::i(� ..Il�..l).�1� .�1 :I.l.'�l.lJt:.J:.1:%i1.tL'ii4'r�.4'LL'Jl:...1L-.1.1::.1.1 1 .�.i::i�:.:i/1r.�U:v..i+i:G'L7/i.�ii i .t j - "i i ; � t'� qpR 14 1991 � �J . ��cpN c��.f ��• avrnTOR