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Death Certificate - Beard, Phyllis Sue_4/10/2010� �• � .�� • �• � � � • [• A7'fETliIOH ESTATE: The $aial Securi,y i' is � ' � ' be' ested b this stata a in arder �o �„e.` �" 5�,�, ;, �BS,��s;,;�n�;xw��e � II�IANA STAT� DEFARTMENT OF H�TH vdun;ary aM �here vntl be no penatty for refusal. :_ Local No .....:...:......:............:.::.. -CERTIFICATE OF DEATH � �� , TXE RECAROS W TMS SERIES APE CONFIDENSUL PER iC�1637 1-14 � � ' ' f � - wamcK �ounry neami uepi. Boonville, IN 4i601 . - � � �� ,u�ed OCT 2 5 2001 �� State No. ....... . , ��; r ...t: e-. �. SFl ' �. iwE OF Outn a -:TYPFJPRINT � o�.sFo--�..a 6 n WO� Wl ,'. .. " Y wl ' ... r =-�Phvllis Sue Beard :- Female 05:59 A�t� O oec¢oer+1 P4RENTj 14FORM?Yi DisPOSir�Ou CAUSE OF p[4TH CERTIFIER HEALTH t OFFICFA . ' �' - r, ��. = -�'i',.�i a �sxuia[w�mnu.su s. •ce—ire•w.. se. ur+ �n.,� .�, , : • .,, - .75 . - - - 4W/�$CECEGENi "-= -: D TW4�STSEIIVpN'.. ♦VS�VEiU4!+ r F.`� US1F11EOfOPCE51- �. yOSPi/. - � o <: _ -' NiA �., — �. Wrra ' _' pF�TF Mr. pr� 11, ?00 i � C�r.�a s+r. > r� o,lndiana Sw�aasxs� - `- �' t7 Ocrlse«M _ _ l S .,-- ppf1LLITYIYUE[Yro�n�maonpwm�w�+En�'l Gc.CITV.ipWNOPLOC1iqNOGOF1iM 9aC0UFTYpFDE/.TY Deaconess Gatewa} Hospital .' . �ev.•burgh Wa�ricl: '. ' -_ �O.MI.qi�L5t1N5 � ��RA�NaGSPOIlSE . � � �3�OECEDFHt5VSU4lOCCW4TWw(GVUHd.�a+ �h.KWDOf8U9M1E55/�.'WSiM, tSO.�M v.r. w� n�.a.� n.�.� - a.r. wro ees ✓.a.�p v. ai w�....e..al . �� _ �9arried• � JoeBeard � � I Secretar}' Go��ernment �� ly �$Rb��E—ST�TE Ib CWNiY IIc CRY.TO'MY.p1:OL1110N IJE STR�TANONUM3E5 " - Indiana Gibson Princeton i?1 South Prince Street iL ZNCODE Ik P+SiOECrtv:ywi5 �� CinZEtiO� I15'N�SOECEDENiOG.iSVUnCOP�GW� IpMCE—�m...�n�ne.n I �l pECEDEV:�SfDUC�iWw L � G rc .Ty' rn w,�: cOIP+iFr, � ua C �n m... �Mev Gan 3ac� wni.. wc tSa«b = +r..a�e.lun.Rl 1 [sw�n: I E'.�.w�i/5.cr�a. Y!6%� 116 p1�F�IDIi �:.S.r7. I 1! F�hfFSNM�EC�i<Nw�G�E Grant Beasle}• SG IM1FOR.UwT5N��41lK+/RN Joe Beard il� I.fiHODCid$�SIT'UN ❑E�vM�vn m&.�: ❑ G.rwcn O A.mo.Y ��an Sm� O x.� G o�. <so.�.n n. ewa.uxn�s�.�e John �V �Vells 1Y SIG�iUPE ff �lAE4l DWECiOP �� t9 �+OTFExS A�uE tf.c Mf04 �b� 5✓M�1 Lena O'Deil xe M.awc >�'�ss �so-.w .�o we. o� wr Nan. rnnw.. cn > ra-a s:.. ze cma wc w.co�.�<'_ � i?1 South Prince Street, Princeton,ln di6i0 IHusband Ti� p�iE�uDiI�CFJ�05�O5�Tq.tiLW-�.a/�4+�.ery.[..�nwv.r 1ic LOCTiqn'—C%o:a.n5�� em.o�.�•� OCII�,?00/ Princeron IN - Columbia "�Vhice" Church Ceme[ery ]te EwB<L1EFSUCENSE�'0 ]) M'a50U��AEC0�E0�OCOPOnE?� - - FD010099a0 '�'" G' "' =ie IICE!:SE NuMBEP t5 M1�uE �WaFSS �D iICFNSi �+u4BER 0� �UK�V.L MOUF 9 `°"`""'' Colvin Funeral Home, Inc. FH83005671 :- � FD01013010 q�5 �orth �lain SveeL Princeton, L\ A7670- _ xa >.ar i E.« w w..w.+w•.. a cawc+w. mw :.,..a w�.wn Do �a .�... ro+.wc.�v �...r. .�rcn .. aaK w,..rnwr a�ao..�w irw✓cc�nM�nfrV�l��✓+Iary�w��m��c�W . . Hr�JBn�w� .1 I f— o�.� � .�.aa.reuusEiFw , \��L��l,.l�`Lk �'�l,i,�L'CCc.�C(.�C� /�l L{Crl`.`v� f'hlY�.�,'L'.Jo..a e..... >«� oue io �ca .s . ca.sca� o� ,�.�.q � w.ni a Caeexa / wr..^cn N.. r�r w an m+.a�• cw« neq n. waYryw a pUE TO tGN a5 l COHSOUE�CF Oil DUE TG (OA �5 � COn5E0UEH=E 0�l v�P'o O+w.5^�c�.ca+avw��Cva�w+�cev,avsqwar+anwcr�.a�YwwnMa.ni ]: w�50ECEDW� I1l�.w�S.w�t1�C3r i:v v.scE�J�`J�S�frt.pn'GS WEU/.hi 09 9J ��rS GfJiMQD� 1'/PMOIE MOM i0 C05pD1PN41 (Y�yrol I C��PIF(IONOfGAUSE V�� rol iDfliuilY>�>.rol �Q �� I �� T9�. CfAiLL1Ea LV LEPi6vV+G cnrS�LUN So n. e.n a1 my 4w.mCP wn occ.ui.a a�r m-+ .au. �+a arc� .ra au. a�+� cm�t�l �� wtw - tGVS. wr ❑ r�E.urM oeiieER a� v. e.,+ a...+�.�.a� ..a/a ++.waeo-. N m> oo-�.aw. e..n xcw.w n m. w. e.n..w r.c.. w cr. m m. uw.[n.. u..e a+t ❑ COPO'ET On n. ou� d�vnr.�en u�a/r un.��5��^ n:r.v earon ur. au��a e ev v+w ee� .+a i�c�. ua :u n c uvw.�� w.rw �..uw Me SCN�TUAE u+0 :��:E Oi CEP:rtRn ]9a. uEWC�� LiCENSE NO t9a �siE 9G+:D (wa. O.r. �r� /0�94%� /o_�s=z��o� Jp u�uE�W�DW�E5501oER5CtiwnOCW�tE'EDUVSEOFDUiwatEM16)(ImiRw James Ne�nrich MD ??5 Cross Lake Drive, Ev rtsrille, In J7715 �� [.�.do«cca�S�,�R�� n / , _ � . 1 J] ru�wFPO� �.. �.,E Of aNA., I,., ie.E a, � �c vwA.., fWM 0.�. �r�) aNP� lv�� r iw1 �!a�eitl .{.'. GI�Yy � lirv�wpsan O Kca.A y. R�CE 0� u:NPV—�� wn i✓m m�w Mmr. oMC� ❑ Suau � Cwu w ei � s+bw .rc (SWyI -. Ow�m.wa . "S� " - "_ � we�<� _ _ . . _ . � 1�a D�TEMqNIX.++CEDOE��(.W�rt(Lr'VM �I)�n-WTOAVEMiCIE,�CGIOENTr fvrsnro! � / \ � ll. O�iE FlLED4b+m (Mr. v�✓� ��` OCT 2 5 2007 a> >.e o � E�a« wam� occuw[o yl IOCAi� ISIrM yG N�nWr a A✓4 Wv:� M/'..�✓ L�Y v ie�rt $�vY +w�h >••.�. eu..�ar. wa.v�n ..c _ .. , _ .