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Death Certificate - Cook, Gerald Leland_4/17/2006
• AT7QtT10N E4TATE: The Sodel S�cirv �. ` . . �� - ,;...•, ..� petq requeste0 Oy We smte ay in ordr f. ����� � ,.�,,,�,,,,,,.�;,,,�,,.�� INDIANA STATE pEPARTMENT Of t; ='•��iLocai No. �.� . l/G. CERTIFICATE OF DEATH . � � .�,.�� ., .."...�. %............ -r�=t�"�'�= n� newaos w rws s�s w� courmorriu Pert K iw7-i.io �.,i.�r i.occusra-w,ut o.n�.e�� �.sa � O NG� ? .> � ��-, VENT � �y�;:INK �•�� �mz. N � Z � -i � = n %�� ti = -i T ��wc' 'n_O � -CiT' N mZ< O � C T O"� p O T, T({(? �rT a�' ��.T �� C j O = Z�n' c. >ycU r CDTVT � ��� � � � G ' CN K � CT ION r..r ? � W > �� � 1 p ;J 2 . G` Z � 1v � �= ' w n r0 � mZ= O � � �r n -0 n tA � O O �Z z � N i � nn O < nO N r n m > �O r .� I R m� > W ti N S� o� mp DC Z < mx ti Y D� Z = (� o � � � t.l� �� � � '�'�,� -i �.�" t::'"�_r i�x ,tt+, ��'i;r�`=. _'^;� ;`�y=' . `��=j NRA-20 ::�'r.sr.:" (5103) v� Gerald Leland Cook Dtale ua:+ a'tonu scwRrr nu�ue� �. �a-ar e.w.r s� i�cm � ttan s� uran � a�r a oart or ercrn �a �r�'° u�. an '°�. u""' April 2, 1941 b,y r w�aoettonr . rww.au+o.. •US�EIU4N� USAM1�mPoMCL51� \/.4 �n f�r. wu[ u w �eea. a� ew «a nw.� l02 ti. Indiann Sc 10 Wf�il' Si1iV$ 11. bW'�M�('rSpOLLSC �y,�n� u... v...�.s.�,�.r 1larried L. Audreoe �lercer �L R5'On�-si•rE �a cou+rr jV GibSOn iL SIDCOOE �Y MSiIECT'WTS I� piQl Cw lr. v....r n61n t%a�ruen lS.A. �n r•r�wsr:uav.a.ra.(..e � Lelarid Cook - A wsWUwi'S1���EtT��e . Audrene Coak n�uE'MOCOfG5N9iWM ❑LV�sw� � e,.r ❑ o..r. ❑ x.w ne. so O os.e.� O ow.cs.�q+ m eawEmw�a �Richard D Hicl:roD.c� U �_( 4�4 :� ����=�='��a��_�r-: �: IsmuNo . ............................ [ or our� a oart or oun� e.� on �� � P�T � '�iarch A, :006 a rn t. ertna.�¢ cos a.a IIe. F>.v� Ce.+N M04�T/.L ❑ M✓� orr@i ❑ N+vYl1r' Q Oe�l• �1 �__ . n_.. ( R1e..`___ �cC1iY.TOMN01lOGiKK10%OU:M I91CWNiY0F04M Hn�ctoo Cibson fb Ifc pIY.TOhN.OXLOGTqN Hazleton f S. Wl50ECFDfTi O: �4K ORCJif � ra O rn tl v« w�ev Cs.� .e� nw w� a� -e� mcwwwa�caanura�m Trucking ' I!6 5i1RT YA M1A@EX ]02 N. Indiana St �QMCE-Mw¢�YOy� � 4w.v.*+�..c ae�n+ p„� a �w.��v� �AYM'/�iMO��' +��rm��n u�aa..>s•i I NTlte I 7 �n uor�rxs r:ua v.a .nw ara.� S.�+a .. �_.�,::T.-_e : ��i,_ �Lun�'Stanley-'.--^"_.-.-- - _ -- . :a�uu..c�mESS�s.�.�.�a�e...w.rxs..u....�.b.-��s..:.ra+ aa�....w-°" 10? �. ludiana St, Hazleron, I� 47640 Wife � :iewtEwoMCFO�oBOS�ndww.di.�wro�+r> >�cWUi'b+-Cnnra.nsr �:. � ,w.,:a". Dfu9,2006 Columbla N'hltt Ghurc6 Cemecen• Prioceton IN _ �p,e�pz�no nw�saurw�so�rrmtoCwOrvrn� FDOI OI? 153 9 "^ ❑ •�• u iaus r+u.ee� x r+a� �mss un urnse rc�a+ar r.�nui �+o.0 'd1"'�' CoMn Funeral Home, Inc fHS3005671 FD01012933 ;?5 \orth �tain Streey Princeton, 1\ 47670- ii.� � E.� i� arw •ri v�moKao�. er a.�a �+. ew��oe �w �.. rowo�r�<w�n rvce n rrert r..wwrr 4vue� �Iw �en s rr� uv� u r.� ew c..� on � ti trw ew�w� 0�..� � o�n wmurzt�.usta.. , t h'Y%"�'Yl.)1.0 L�.w�:� �.�:.rCir �`1RG�r r.��� , aufomnis�ca�ow�cEOn i� . - -. �..aa�a..� _ .. _ e Camv+ � wr ra a� DlE rC �dl �5 � W�+YOUCKG O� wbNwtiY�[�� � °�'� � �� dk 102N �$1 LOV3�l&NLf 0%� �r a V.UT � p� Wh�+�uvm� � CeCUV� ceiwu9 e W!� O� M Vwd✓i mG e.0�n 1 lI Wl5 CfCECO�i ILi W/S NJWlCOSY ib Wf1E IUI005� FMM�GS NNIFCHINi Q W NY! 09FiiY�f �V14.NEf'1�W1i0 vpimwrw� �r�>rd tpnnia+a ••u trn n Id P' Ouim tr� s ir �p _ 10 \0 _ nCEPiVB mCmti�'wGwrSG.w i.r�e.�d�r�waw.we�xc.�rye.rna.a.rob..as.eV.c�vW�«s, �aw>A ❑�E.LLrr�a�sKFA 0•w�erd. waN�s��.oro��a.e�em.+seryw.mawWUweieMC�rtawma � ❑COK}EA G ^`d v�Y/VMwP�.nrY(MP�pNO[On��/�M�.C4�YO�.MCM4N(INMYWe�v�YOYL ' �.�..�,�r�,��� i �Gvl/ o�o s5c�5 �,3,���0.,.�, �G l0 w�EY.04�0�E550�RA5pl�nWCOdtEimUU30�OGiw0iO1XI(Trw/M^e Subhash S6arma �1D 700 �tillox' S uite 201, � �ncennes, ID )�'EUiHORXYA59W'i1.R ' i/tJl�.�_ . ii.�....y'y/. ' �V � waw��twawn w.i.wo�a.ni I�.. o.rta..ar. I�m raca� u.w W ..n �wwA� ss s�a oESC�ee now r.�nrv oeeumtn m r+..� ❑ w�sa ❑ �.w. ...�sm.. w nx[orwnr�ne..�w..u.awavrrK. w �ou*rrics....�awsrw.ww..e..W>re.+z...i ❑ Srb ❑ CsM m b M�YO e ��SRR�11 C�I�r/�1 . .. ❑ KMb wrtvnorvowcmououe.nGqr�1 wuorav[nat�cum��,�v..>.w�w.aw�m...w.w..o.srm.e . S�HO6-0OM1 State Form 707 f0 (RSl1•99) �::,VOID IF, ALTE(iED OR EHASED NOT VALID,UNLESS�CEHTIFIED_BY HEALiH OEPAIiTMENT :�