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Death Certificate - Welton, Beulah_10/20/1977L� ' I �'� s� I' �'; � �:�, . I:;:: f..' �; �� .�'. �r i I�'- ;t r: , t-' � It. i� �r " 7S _ �. _ 1., I .: �� li�. �r::: :,,, ::, !, .t� , ': :� � _'.�' _:j 1 t �'.= . . -. . y: , �� ypy eo uY � ��•• — , . il � -�i . .� .: � , , . ' ' . . _ � f 1 �� 4.� I�i�.': LOCAL CERTIFIED , �GTY-COUNTY DEPARTMENT OF HEAL'��i � ' 1 i'`;� -' �;i RECORD� OF.: DEATH , � � " Ciry of Hvamville=V�nderbargh Counry � �Q � ' � �' .. • . . . . Evamvillq Indiam , . . " �, � � . :1=137.. ., �: �,' _. _ , .,� _ � .. , . ,,. ., . � : ;. : , ,,, . ':. -. � - - _BSUr�x wEL�roN _ a��a > , �, -This u to�Cerhfy that our records show____ '----- - -- --- --- --- -- -- . �� i _ �' _ a� 0_30 .P.M Deaconess ' " " ' �� ,SEPT 12 � 1977 , _ . ------- ----- �� ':jii� mo W- . d s-_ �'-1n+ • hour ef de�t6 � __-_--��treet huDlul m nr�l�t ��- ?��i= t�' -'�';t 54. ,�,-_ ;� Fe - .= Wh , � �. Married .� �� .�. ��s% � ! �.Age.at.death �--- -=-.Sex ------- Colora--------- ----'-- .r,� v6eth —" _ ` .. � s�+n ;' . • . . r m�med�ar dvsle i _ . .l�; �. . i� � . �.. '. �+ =. � � Secondary.brain &.lung cancer, , _� - ------ - � ----- - �IPnmary cause of death g�ven was ___ __ _ __ __ - - '. � , ' ,,, �•;t� .,,s!�'�..�' ; �i' adenocarcinoma'of � endometriuin _��+ __ '�� a�., 1 � . . _ _._ "__ '___""__' _ , ,. � , �� ned �y -H R _Schroeder ---------- _City --- - i " � , .a� .. „�� <� venmi.n�ppC� , �.- ... � . '� �,^� � . ., ,:�:, . • Atkirison - " Oatsville, Ind � ,,= .P,lace of �burial'or iemoval' '-- --- - ' � . .' --,-.---- � ------ -- ..' . � , . '-'vame ot erneten -- � ' • �d� �� . -c =. � 9-15-77 Colv�n --- Frinceton,, Ind: r; . . Dat of � b 'al � � --- -- . - � -- -.- -- � . . .. t -' �- Ebvenl Dv wr . . . ddrs � '_' %� Signed �� /" --'-/��--=+ -!C ---`-Registrar. � .. .:. i ,i c--- --- -- 9-20-77 ' [SEAL Ev ville; Indiana ----------=-- : � �ti � , � ' � 4z i�z � � _� NOTE Recorded l«ally in Boo� \o -- --- -' Page ho ---------- ---. .. . .� , � .. :. _ . . _ __ __��.�.,...e.�wnnvwnnwwer�rtneevlmllllODNREAI I ��____— . . . �.z I�_ . . . . . . ___ ' L_ .. -- ""'__"-"_ ' " _-. . "'_ .. _ . . . _ _". "_" ' _ . . � �aF 'r; �.: � 7 �i�- . t-'. � i ` .`t �- � � .1�� . , .;�. t� "- �F� ' t *, , � -' s ffiz o0 � i� .T 4��. , . .- . . . . r. :� �_