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Death Certificate - Couch, Wayne Tichenor_12/17/2009• INDIANA STATE DEPARTMENT OF �LTH 3 5 0 3 9 9 .��CERTIFICATE OF DEATH � °°� local No........41..Y...tf.!�`:.��.t.... Stata No.....U..�1....3.�...1......._._ t.orsesr'.uv�xee.v++�uwe.wo �,.u.,an wm.i�.r.,wl 2 i ..n.uo.o ..aieaoe.r.� nen Wayne Tichenor Couch N!A Male 8:20 pm October 30. 2009 .sem rex. a.b�-rn .��.a a.u.e=�uom ws� e..�uew�m. .<a � lumn .n�M e. Itro�+�e �m > 99 � � �^ '""' May 37, 1910 O+vensviile, IN s.E.anu,f. .arm.., ro.n .ncm.�mm.ramr: �m.uoumo- �asomew�n.tse r �e�a'. ❑ rr, jd iw ua.,o., ❑ ❑ u,v,s.,+ p`—�«w� rnas.tiv wariMC O a,em a�e,a ❑`r�.,,�. r+�r 7 o«.e.r::�+. fd µ.,tiq w�wtaa�raca. r�.v O or« fso�n ll.[om,y.imel xwm�.Gweued4almroa.l Transcendent Healthcare of Owensville !> s�Piw+..C�.wl�cw ♦ �w� f1.Wr[y N me Owensville. IN 47665 Gibson �1tni° �'�'00.����0na� ❑nnm..a or«,.wna pwm�, i:.s.....csw��.em. is..wwaer�..u.aminirm.< �:.oc..wauemo.nc.� .�.rae.,++..vne..n Dorothea Mae Couch Mwphy Contractor Construction I�e ?�asa-aur �u.�a.w +m �xrara.. Indiana Gibson Owensvilie a�MMww� ��. M K. r. ZV c�a. iL. MLQ'. tmhi 207 North Smith Street - 47665 �`• c"` is :e.<e�.a. a� r. oec�anxrew� _�. o.cm.M. .x High School Diploma No White II[aPtr� Nm 6b. Wtle.lE'J tl Y9iw � IWr1 N. 4bN. t l YtNS'� YaOC. t�Y.�'me George Couch Elsie Couch Tichenor ]I eY�waea!LPe }��. vHp��y ie0et�eim 1b. uai�p+damlSMhele �e. . .ZOLeY) Dorothea Mae Couch wife 207 North Smith Street Owensviile. IN 47665 zs. qa« a aw�x�, n..w�mao-.sa� :� .a �u,� c�..o�v.omew�.� .�a -u..ro..,.� a�.� ou.-.� o o� o��-� o���� Bethel Cemetery Owensville, IN 47665 ❑ r.. �sv+�,s. � w<eae�wemaaa :�.x.i,,.t+eeo�.y��eaases.a m..�r.�+n x;, �.K.:�<<cs..!amw. �'bi �'" Hdders Funmal hbme oF Gibson Counry. Irw. 3? 9$. Mein Sl. Owa�svi!le, �N 476oE �!-i aseoeo2� Sm. SP�.o� �roas fu�w� ^w.c. �:.nw: nc. l:r�ee wnwv Ia� ta.wet �C���l� fti� FD01010177 Randall K. Dike � came m oeain la.. ��.ao.:m�. �..a e...�vk�l • I 25. 7an L Erc!r �;,e Uaa+p c`.ernt-USeases. Ir*axs. O� Comdic�Triat Ort=.�' CauseC Ttre DoaN. �u tbt ENer i etmal E'.atts >npmr.ae Sy�+.s CaN�ac 4rest RespvS+xJ MesL p Vaitq/ar Ftt4aUOn N5ltqut SMwinq Tte Eyyogy. �o NdM F�ore'ne�e, n[m CmFJ Ox Ca�'R On A � �n:en'nY Qnse� P IYR. iGE i�D2ID]�dl lilvi i: N2@5531y. //�• �t {/� I/ /�rn �y� ��{7 � u i0 G2'6I1 Immadata Cause IFvW Qtrase Q' Cwdtion P.eaNUg 1n D^am a. l� 1' Q V' Q'� "�l �l�u �. c^..^' � l.L �U �mn�,alY���^i.11nnY.Lea6ngiai�eCav58lis.NOn °- !rc=. Enreri:eU�oeM�tiCa:sal�isaes?OrLry:r�Trta:Iimiafe0 •�o••• .m Tm E.en:x Restu; m Omr.) �as C Q m.a... v�..i I>nn. w _ .91nw?..s�mnvn:r2vdeir�aUwC.`mmc.n� 29.�rnN-+:cwt a�r.n� �Y� �f110 J� ���^ r�*�' �� ]O tVtl! Fy4rylY ��N A�ytl� iO LOMe' 1I W� vi1 RiC.1 �t u� ❑ YC$ 'J �:: ]l. ?! i�c[ fa'JtrY ieCed'� y.11Fr ' ll. Hane OI LlM: �. ._q/ I Gr„O���A wpuamn �2'� ❑�aTV�+v.^ter.ri...on��urs<aos� ��rin.s.+e:iP.n+een.tarnrv� Ou+�nOro.ne.OmaOO.n�.+sw*+� .p:bN9�BURq�+nO..tai��[N�e[«n Ouv.un!°�v+�WV,:MFyars ❑soLpfabrn&urm.a Y.D4edFI+�IYVG^J���Ye+�"• ./pyp1N}ry Y eqW/IG.Oetetr�uaXm.:aemavnS4.Paafx�KNba¢�Ohe�l l:.e�n'IiV/�n ❑YM ❑W Y.l.asan Iby.-'.6�e , —��I'/OTan - Jlt.5Mt61Wla Nc.%KtM16 X12D(aY ( Yi Cevta H:� tri�/f OaureG , _ �0. H izfVtfi . St�ufr: on+.m.��. o..�r o.�.—.-�oc.vym �t. SY e. GI IM .: A .l. C.cL+i�+«. uF�� \ l Yl ��%IhG%yl�� Caa![� riet.CCM .. u...+. �.r.• �t ta.e.0 =�t:�e,ldC.ssw LmCaeepPei,mCe:iCjrgCa.�eqDearh: • . . '�f Queniin B. Emerson M.D. P.O. Box 185 Fort Branch, IN 47frM18 01027038 ��—�— V� .c <mem� ,�:...eK. . .r. �wa: at.a�s�.�d�uar•aaOfav: .] �onasv«P�h-oe�s�eal N+mr): ��u,�c.� G ,>� / ���%.��%� ticJ 5, % ��� ,������, .,,�..,..�,.��.,.,�...s,R...—.�..�...o..�.,..e.. .�..n.�,..m...._....�.__�_�aa_._,�..�-A_..�x.�.,��..u.-w.�.n»...m NRA-20 __ __ __' �-�7T05) � _ . � �.� , ��.e _, _� .� � ��. _ .. _.�. _., .� ,_„