Death Certificate - Williams, Ernest E_1/14/1992VANDcRBURGFI COUNTY HEALTFI�EPARTMENT
Room 127 Civrc Center - One N.W. 7th Street
Evansville, Indiana 47708-1828
CERTIFICATE OF DEATH REGISTRATION
��IS �l�L `If I�S / THAT ACCOFDING TO THE RECORDS OF THE HEALTH DEPARTMENT
2�85
NAME
EF\EST E. WILLia`?S
o�EO�NVANDERBURGH COUNTY INDIANAON ��,R
- SOl'FMB[R D9 199i
TIME OF DEATH MARITAL STA7US SEX AGE RACE
11.04 A?I :tiarried `iale 78 Fhite
SOCIAL SECURITV � DATE OF BIRTH
JL7E 30 .1913
PLACE OF DEATH
DEACO\ESS !IOSPIT 1L
PRIMARV CAUSE OF DEATH GIVEN WAS
Hear[ Uisease- COSGESTIFE HC'AFI FaILItRE
kE\�L FiILITCE
PMYSICIAN OR CORONER qUTOPSY
vUEYTI\ E?lGKSUN. !f.D. tio
PLqCE OF BURIAL OR REMOVAL MANNER
U:1l: HILI. CBM[TEF.Y Natural Uisease
FUNEML HOME OATE OF BURIAL
COLVL': PL�\L•R4L liu?iF I\c. PRI\'CETO\,I\ 1 11 1 2 /1991
CERTIFICATE NUMBER
OR VOLUME AND PAGE 0�00212 % DATE ISSUED 12I 1l I91
NOT VALID UNLESS SIGNED d SEALED
v,�_ 4 , �� ' B,g� �.,�,
1...,.
VANDERBURGH CqUNTV OfFlCER�—r