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Death Certificate - West, Annie_3/10/1958_ _ � f �. . LOCAL CERTIFfED CITY-COUA`TY DEPARTMENT OF HEALTH RECORD OF DEATH � �'City of Evansville Vanderburgh County: 201 S. E. Thizd Street . � .. . . F.bansville, �Indiana . . Anaie West � . . This is to Certify,that our records show-----�--- ------------------------------------------ - 3 10 1958. 8:10Am Welborn Ba tist P ----------- ------------ ----------- at -------'--- ------------------------------- � � moncL day . yesr honr of denth eireet.. hmD�� o: rural . -. .�'. Age at deaih ___9?_ Sex ___ I''e __ Color ____�ite_ Wido:ued ------------------------------------------------- ' s�en - � . write m6ether married or �einY�e . � - Infarction o£ t{yocardium Primary cause of death given was ----------------------------------------------------------------- - --- -- -- -- -- - - ---=- ------ ---- ----- ------ -- --- ----- -- - -- - - - - - - - >.._: - - - . -, ._� _. _ .� _ . _ . ` M. L. Fa:� -----'-------City Signed.by ------------------------------------------ --------------------------- � nhyaieinv ar��iuSr ' ' vdarme - � . Place of burial or removal _______�� .�fllnut Hill ��J3A�cE�*3�Gx$aa2 Petersburg, Ind -----------_-------- — -------------------------- _ , � enme at e�et¢9 addrm� � ' Date'of burial _3-�?8 ____ ____La�'b & Son ' Oakland City, Ind . -------------- - . -- ------- � � ' � � . . Funernl Director ' __"' ' __ _'__'_ _ '_ __ _ ddrmn .` � N i�y r..�. ! . . � . . �, .. ♦ , ' Cj � . . . . „ �Signed ----------------- -- -- ---- -------- - �-- -------- • -G ±� �l , .. . . _ . )- � , 5.�y . �'r,., �.- .. . . . . � . v ^� - «"L>. '^'=�,-, ' Eua»sville,' Indiana - . ' 3-10-5e --- ,_ ,,�� -r .:- --�� - -------- __. � . . ,... ._. � � _�� . . . - �, _: ' . t �� ,; � ;NOTE: Recoided''locally in Book ATO. -----?? �: _ ,�l��,�7_�'3.\",�,_ --- . � _° ,,� >:.�,ti'�,� - - Page No.----- _--_ date �