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Death Certificate - Block, Verneda C_8/15/20077-7 7 � "==��:va=.+�v �ro�Mra�ai;,��wa��i INDIANA STATE DEPARTMENT OF HEALTH :ti= •:=-a:«,-%� "=' -` �i�oZOD.7 CERTIFICATE OF DEATH Stzte No ........................... LocalNo �i_.y ^, iME REiAR05 W THIS SENES �RE GOMFIOENTIL' GER IL 1ST�t :0 x. �a , .tcvse[u.m�t Prs.ynae.USl L.iu,EC�CFAM ID.G/.iEC�LEATXlYt+L:G/"/1 � v (!. O � > DT�.� Verneda C. Hlock e^einale b:10 F.-f ?agust 2, 2007 (il 3y_j a.i50CIRLSECURITYNUNBER s�.ACE.�+aeuw.> sc�mo[a�h.w xwmmipnr pa+� c�crv o,�.�,r rJ >.ani�seacE(ayve,v�.>veq� _--�SW". _____'-'___"_—__'____._ .fY�l___—_ �B�Pn^BInVO."""_ . �O°°h � J _bfl"� __p� ��.___Ye�av_. ._' _ _ ' "'_ �, Bi o s 192 Suckskin, Ind:zna �I�1Z: e.vuSOE�➢P� aarFwnt.�srsFAVEOw a.wtEOFOE.�tN Ifi.nnwnrs..e:u�mv..� r �q -Z;! AU..tE'.ERInr t'SlAVE�f09�S� ML'RAl p: � (t ❑ WCia O:!Bt�yNq�Vltn� ❑Ser (3.ri'Y� J � =�j. No N/A � �� � w.s.ca.nrv.u= n,v.r..micKn..r.�a�..m� ocum.ro-w-+.on:auru�oec�n; cccwrtvovov,rN R; U. C. r y�� ihe Waters Princeton Gibson �Z� :�.YMiRAtST/.IIG It..'LRNVHuSYJ:I'.+E � f:a.OE�'..FLEHiSVSULOm1G/,:1CH freW1M :b.Y�WJF01StESiVClS:(lI (� r�-00. lS�f P.+oKC.w�.r•q vec+RSCade'trAn..mmvvise�m.i ��� � Widowed n'/a Rousevife Doaestic x��. O Q^: tY RES➢EIICE-6iAiE 11. LM^Y fY CIiY.TqNIdt:OUiIIX! tb. 6i1E[TM9MI�@Qt P-� = ����' Indiaza Gibscr P:inceton � r n j . R.R. 2 Boz 129 �nn'=� ,x.nnwoE in.sc.�ccmuw:s ,..cn�na�_ .s.wnsxcme.vro�1avuxoracir_ ...,e,w¢-r.avc�qmn.. _.—_n._grmexrsexcA:iw-- C.�. ___.._ . __- _� ___. _. ._ . . . - - � !:a ❑ Yn v.w.rcp..:i �no ❑`"es Pr�o�+���n era.v.v<.es !S yt�1�P+amk '�secC Vi v� -- Yv-tn �} tn p n �k. a+�FUan w.s.r�z/+v�r..l � n�'s�a�nm;a ' <I�•e �C A� S i 670- p no ❑ ves U. S. A. White NJA C^, > n r :e. r.*r¢vsrav.rt lF�..wG.�.�ar, ,n. ewr:exsn�;.e�2 rr.v.u«<.u:m�s,a,.�� ti � � . n C� Elmez Buck - Zda Pf1uQ > m<° r�.o-s«aiv:rsr:..�rn�Q..l a.wn,.icwaassr�.�eroam..>�e..aw.�».�m, uraian9.re.L+�J YJC Rele.i:Y{ r C�_ Hrenda Dawson R.R:1"Hoz'2C3 Francisco, III DaughtEi (?>' ..vm��caemmosnan �� ra.ahu.vnn..-EOrocsros�nnvsi�eerm,e.�.rnvnr.e �x�cinu:ror�. CryaTac.61�e � �• Psv) . � �. a�y pG ,.y,,, ❑w�.ewms.2 Augusi �- 6, .2007' Z �' �°Pt'°" �°."'�°�°""" St .Paul "Cemetery Fort Hrdnch, Zcdiana r�': �.eau�rts� �.Exsya�.ns�nc. an;ss.:tnv�rnrv�r�c`ac.En nc� � ❑ vyin� Robort S Stodghill ED 1024378 No res � n Z� 1V. F 11' �iJR . 1 ja. IK£�"'�NJ6� _ l:VEAYx+£aZ..:JC'J^A'4MN�OFP_'.�'.rJ.LKI/F r.,-i n' Dr:. M�+a�me) S:odg'ii.11 Penerai Ears, Znc. £6E3002047 � �r,-,r; i � � ?Oa c:eat Locust st. _ 'G �;- /� . i � .. FD01024378 Fort Hranc*_ xnGiana <�6:8 p.2 ' .nri wnmeXem•w.e.a e�o� acise+..00mem. .veamamuem.c«res+�> �.�i_ � _C urtl.axlalbnlWe,1 M1oxo�xmoe�4x:. �_ L YF� ' C: ' � ! . I� Oua �t xct m i O: w..��u�c:usEF� _. g��4tLi�Ca._� �� �-5C�0.( F1R.\'�511-�. � -n2- r . werotu�wsa � O C � �a:�� aT - 1�' i E. �\` .1..� f SS (\ .�\GtJ =� (i L1 i CnLL'»m.lM'. btw.e �y:eN�!�ASACCNSECUENCEffi �" r�-'" sis.lRaYSe1!C� c��=\ (_""`fA9 C y � yaVp ' WEiC[�lSICp.SE�t£MEC£;: 2 2- O � — a O �� _ � O� P�O. dDSyCtlfio00ti6q-GytlSVSOpIy�xH^F�'1wmlpnWiy4'1ldnPi�.1 i].14"iSGECECEYi }N {V/ulY4lfiCAS` �.LticAE�OP5YFIY'..hii Z C,r. vPEC.w�r:a+wa+�R �cwYS.-� �VnuYEFnlon2 -( f� r.. Po�^'�'T�' Ire.vm�' G0.'.'v'�ETMJ.\OF:9llS'e y � n` M1eicTl CF�J.M R�[SVmI T� n a No No No Z _p' > � J T � �. �� yu.`ae»nmeen4a�aeme r' o'»� Bccc.:r'�+�umn'.,icurv rec.amaryweon.me�,mmav.r..n:e..m n • e,el p ��•�?ro�s�rt, o�v.ml.e.e.. � • /�/emo�mc.c,na.te.m.x+��r..eemQ...en.nrom.a.....n � ./ .�OVo+G-sTi+��lsCaun.nu:�Yne�/�.tim.or:s.mmeemm�m�e�e.ascmvda�.zn<Yen_+emxeP�acmvasxm. G e� rm vexe:i . v � � a eg..^�txu�.vsErm m _ K�f+�==: %�. *qt ° �t. ��� ' � If�. � �j�oao��o ..,i � ' ; ,�.��;,«,� o�.s, .,�,.: — � ; � ° Dr. Bruce C. S=in�c � �DO �K���� � — - - � -� � 410 N. Main Street, Prir.ceton, IN 47670 �' z K >t.lvl'iYQ�£IfF3!54GAtlUItE _ � 1b:iEfIlE.^.IYa-=aCbY.�„! � ..���.� G. j� ,��,% _� P'�� � -� �: u.�+.:�aa oe..:n w. wreoFx�m Nn r�o� �.c wamr:.: n•x.:v w. oes^ruserr_w�wma:a�/a� ' r ti (YSa.M.�� �„w. n.,s� ' � .�:.-� ❑ =.�.ec ❑..m,,: "m"u. ❑s.�w ❑._.. ❑ Mmcm � Y:.YI£WG�GNCEJCf1I' f%4G�. G Cl Auwst 2. 2007 [.e�-"5. e_. t=xYri G� rn.vncl rmw++he+.v.t��as�.mxm.rc -> _ - -,-. NRA-20 � _. �,`-��)