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Death Certificate - Crecelius, Robert A Sr_9/13/1996�;Kf�����u4_�`,:� t OhFICE ot`VITAL STATISTICS���:a'���'� �� ��" � ��c;t��� xi��� ��1 Y41t �� \ F E -�, + : , �. ;' �. � , s> c�,� � < i�f� �i�� ( � %� ++f� �' �� � ' CERTIFIED COPY > . ` ,, � • � ''��{j�� j�� ; 1,�j(' . t � . . tf /"'�f C4� L' i�l� ; d. , _ s �� �� F E ���.,t j��F���'/�i17' ��I4� / 111 ..� t t �fi i�;�� k /.�'� :r� �lE3t 3 � f,s : t __ � ' �:�' �t y p^�j �l pj��/,,��'I / !.�? SY �I� �,+I��a��.� �`( z ` ' � . .. ra _ �. �.� Y ��I7��II��j�'�j��l'""�E� �.`�� } j > b � l `�.� `M �.� 1 �. Y� ,, yK�. y �.�� ii ��i7$ �\ �. ��ec�ucria' � � � �,, , � i CEHTIFIC/1TE OF DEATH ' <. � a y� i y�; , �t �1 � ' + ��� .�.� � i , i FLORIDA : . � ,!; `�€� LI�ffU��%3�i�� .C�� � 1�OELFOEN76NAYE � � ' . S Y 4r F�1 � WDDLE U5T 2 6E%y .i �>"}.�.y n `` ;� .. � �. . z . � Robert A. . . Crecelius, Sr. "�� �� � � �'�Malelf�'�3 ����! 1�W?E OF OEATH (NOrvn W�EMu) , -- �. SOdu SECU(i1TY NuuBER 5� /.GE�lau 9NIaaT ' Se UN�EN'1 YEM "`. Sd UNOER / D - 3�t ' �� M�nl 4aum- �o.y� ..NOUn: �Min#N; �-; � �;' Novenber' 7 � ` 1995` 68 > �;,, : i _ 6 WF OF BIRiH N?KM1 �+K MY) ' �. BIRTHFLACE (Cuy uw S��n a Fanpn Ca✓vryl -. -" 0. wA90ECEDEHT EVEfl W U8 `L%.i;' --' �.. ITla�011d .u�wEOwr+CESt(Niawl .. �. -. ;;April 10, 1927 q.. Gibson County, �; ye,q ,:q ,,rn' p;` 9a GLALE OF DEQX ffJrcl uN' aw: �M nstrvc4m� m dtw cdal � -YR WSIDE pTV UNIT5/ �1Y1 a NeJ � f . . _ :;:, :.:.� � � .: .: .: F. ::ii �NOSPITAL Q�HER: � 3� S 4�VaiNit" � �EWaIGYri�l _OOA _NuninpHmw _ R1tWK1 X011r�(SGKNWSI1tEi �HUI� - �x:Y- Y� . sk xf i �%:�Ii �YC�fAGIITV N1JAE (MM iufRWbn. P'`� ��m1 W numGrl YO. pTY. iOWN.OR LOGTtON OF DEQN - YF COIHlTY OF DERM �� x� i"t�r t :�.850 -AlA'; Beach Blvd. St. Augustine Beach �:: St 'Johns ,'��.,',� � t0a.0ECEDENT'6USWLOCGIiATIOH IOO.KINDOFBUSINESSIINWSTRY �I.MMIULSiAlUS—YnerU. IiSURJiV�NO$POUSE(dwp'plwm�IMMm�) %?.f!"y't!-� Nen� Mu�wO. W�Ow�E. . . .x: '� i � �>.. ' Certified°Financial a°°"'°«°"h� ::-.Plarine`r Investr�nt Married Sylvis Cribb ��s 3 n, �;.:r,: 17i RESI�ENCE SiATE �]e COUNTY 1]c. GiY, idNN, OR LOGTION 17a. STREE7 AND NU�BER �. . `_ . • - � r �, _ ' . , ,C �F �£ < c �i ; �, . . . . `�i.;. o, t.�Iiidiaria' ` Gibson Princeton Iake Road�Route;#2 Box -319 ,�� �,_ lb'INSIDEGT'��'' 1L.ZIPCODE N.WilSOELEDENTOFH15��11CORHAITiANORIGINl ISPACE—AmuKanlMUn.`'" IBDECEDENT'SEWGTION'+J?""^.,, LIMIT51(IY�aMOJ ' (SpWyNOaffis—pp+.fpcJyMUG�n.Gu01n. Blac�.W1u1�Jlc. (SpCdyWyApMBpndGOmyMba�a: . uu:<�n. Pu�M N¢�n. �rc 1 j( No Ves Spe<dy: . °: � y.?.. .i .:'i �E�Y' :�n/aS�..� %� ; ,4 �7 . 5pery: Wlllt2 . p.�A: :. . n� + ,: a .; i-�� `77.FA7MER'SNAAIEfFbGM.tlS4WU IEMOinER'SNAME(F�i1,NMOM.M�iMnSvmun�) �:;,>' .x�.��._ ^_:� r„�,,y-`' � He I C=ecelius' Maude MileY �. ., °;,:�, } ,�a;, ,, ID�.INFORMANT'$NAME(7yGNP�Np. �90MAIUNGA�DRE55(SV���uraNumDUwFunlBwnNumMSGryaTw'qSbn.Z�pCoAl__� �f��:; �'. ='S lvia'Crecelius 1250 West Broadway, Princeton, Indiana <t>. �$ � tOa.METH000FDI5G051T10N 20EPUCEOf015POSITION(Nam�dwnebry.cnm�wrµa 20c.lOCJSWN=CityuTOwn;5411;�"�;:;�;[t"�:` � .. . oNaN�c�l - � � -.. _� BunY `G�ma�bn . ' � R�movallrom Slu� ":. F ,- � �s � ` =o�„�;.'_oN.,rsc«�ni Warnock Cgnetery Princeton, Indiana ` � , .' �~7U. SIGNATU� OF FUN L SE IICENSEE O 2tn �iCENSE HUMBER 21c NAME AND ADOqESS OF FAGLITV `. '+ s r . f� �" � iERS � ��" . 363 �d"`"°'�� Rivexmead Flmeral Home�� ��'� `� ' ►� ;� . �?�L7 950 Pazk AVE.Qrange Park,Fl 32073 t� ��.!�"� �. 73a. b N� W N d my I�Ops. 0� N OCCU�rW Y N� lim�. Ea ac� anE Gu� b N� zla. On uie easia d e.amin�tion �MAw imaalq�tbn' N mV W�� O�em acum0 tl�:,;., EO�, . . W a ine Iw�. aae W Vlw W ae� b N� c�usN�) W mu�m� u utlN t' -`i �� . nua�l�l �t uL _ E'i : ,, � � (Slpn ivn � 0 TW� � . ' ,/ Y 4 5 n�wn �nE Tltb � � � y`�b " � �72oWTESIGNEOfun Oqttt1, 2te UROFOEATM �� Zb.�TESIGNED(Ab,Dy.KJ �T7GMOl1aOFDE�TH ; �?� ; .. .� w ti 1 t Y R 1: oo Noon „� � �, � w $� tSE.NMIE FATTENDWGPHVS�p�MIfQfMERTMANGERTIFIER(ryqaWmq Ea Zb�ME01CALE%M1WEfl'SCASE� : E'- ; `�a w A E A s — — — — _ : 1' �rs::. : .; � • • _ — _ — _ . : .. P� NMIE AN� ADDRESS OF LERTIFIEfl (PHYS�CIAN, NEDIGL EXAMINER) pyp w Y�nO ,, Christopher Thanas, M.D. , 9500 San Pablo Road, Jacksonville, Florida "32229 q`: r n, % �35a.5UBPEGIffiRM-516NRUREANDOATE i5o LOCALREGIStRAR—SIGNR� � . _? �3a D!�TEREGIS ED^ `, o� - s w�J ► `" � // i[i� %$— ► 1i9rt� �l. �'� � ty. FARf I. Emu N� Ois�uu. �yw44 compliu�ion� NH nuwG N� OuN. Do nd �mer lM moG� d a . wc� �s wtliu o� usDW!bry unsl �IncY a Mut . 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' � � 3 �i : :: . :: - . . . . ' �/Mi L F 1 d' - - E� � �� , f � y^" TMIS IS A� CERTIFIED TRUE AND COFRECT COPY OF THE OFFICIAL RECORO ON FILE W THIS. OFFICE"Sy � a`�� �. y�(�! �, €�E E� � - � r , � � : . �z. �' 4i ` � E� ��� � fE��` j �Iif � / "L � � > � � S� [: i �� I � €f3�` � 3, .;� ri �( jti � � �! ���� .�' : a : ?; € 3 [3 ✓ ��,:~ ii � ti �i�E`E` r �1 �E�� �. <..�y!r ��K �,BY '.. � .. �� � C� • , State Re istrar ��:r' ���.`..k+'�'� ��C:���j�[ � , �dtH°�►i�4'�r,�?� � 'E���: { ' ,.. ; z l t 9 , < � � �}; r t�2�ii `� ji��'f'i! � � f _. "1! � 1 $ti�WA-F�NI NG ��Y REPRODUCTION OF'THIS DOCUMENT IS PROHIBITED BY LAN% DO 1tOT CEP3'�r� ! � UNLESS ON=SECURIiY PAPER WITH LINES AND SECURITy WATERMARK Q�BA - pC� � `� r •'' -- AND COLORED BACKGFiOUND AND GOLO EMBOSSEO�GREAT$EAL'OF Z}jE��fhjE�, ,�� � �,' � r����I 5 67 C�.5 6 9� c pLORIDA �ON, PRONT �.ALTERATION OR ERASURE VOIDSE THIS CEQI �CAT����I � ������inr�°a� .i �i:f��� .'i�lt% !�� �-j ' ' a. } r >> =Ha4, EA�M�, i `'�-.�I � � �1.w, ... : . !� ! .. : !:! _. �r.. � , _