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Death Certificate - Cummins, Jimmie Sue_8/25/2010., � -.�. `� Lotal No ...Ci.D �. �'.ecr..ecslepM WmelFnt A4x�R, tas:l SSariatSecn7n 6a.eqx-m � .�� 76 "a° I °m ' E�v N U.b. NnroO %prcv.� 1C. N pe;q OmvreG N/. Hc.p.ul 7�lS Y M Uit'M:L7 ] L�jTfi] � EsCLd%'! 7[0��90 tt. fati;y Name �tt Nd 1ruYAOn, Gn'e S:ren Nb NumCal t2 G.Y Q Twn.9am. am LD:.oae Pzinceton IN G7670 IS SutimpSpoae'eNam 18. ?.evacntt-Sea�e Zndiana �& Stree�P+bnu*0e � $3, Hox 18d 19. IXxeGrn�'s E�urx.m 7 �ears 533515 INDIANA STATE DEPARTMENT OF HEALTH CERTIFICATE OF DEATH te. Mabm tas Name (tt Fern�e) 2. Se. 7. rtme m Dea?� a. p� a OeaT (NOr�'Ltr',Tean HazriS Feclale 1:45 PM uly 26, 2010 m w.. � wr a un. t�. ). Dete W B'vm (F+ona� nw 8 �Y �=W� (�Y AnC Sate P FwevF� GaieY) �"�° et 3, 19J3 iioy� Alabaaa ICp, M D„nG+dc. v�eE EamM<�a ONer TM1en A Ilwpuy: �yp�ti;r,q ❑HCSRSFS€��]�aMeRSib:¢G�`fcSFVxlm?TenCieFS�tfOQ't'I�Y1 �Sa. (tlKl'eXlhe Maiaen Lau Name tba. Camry 20. Oeceam: d Ksoa�'+c dqn lo, No[ Spanish/einpanic [�:lr' .��� I 16. OaceEe�fs UwalOmoauon Music Teacher �sn �na�o.� 1�. f�ariW �aen W Time 01 DeaT �c w�,e ew:e.ws�aa��,ar t). K�xO18�nsiMUm` IBE. MiNO. t9e. LoCoOe t8f. 4�pe�ey O+e at6 G7670 1t. Decetlenfs Race Cdl�CH91d[I a.'.c,r::vv.�e e.-�sL r.aex. lzv) a7. Rmu�er: wme �F+u nmme. tasq z3a. c�mxrs esaenn Lnv rq�a Lynton Harris Lo=raine Harris Cardxell 2a. tber.enrs �:arre 2aa Relanonui�p io Oettaen� 2-a Mad� Aaaeu (5cee�!M N�.san. Gry. Snie. Lp Caae) John Cuamins I Husband ( RR q3, Sox 186 Princeton, IN 47670 zz. Pboeawww::a, Yx.Geu�wOlPaOOr!ion z•s r.euwa»osw�wemeoree..e�e.r.G..�a.r.aer'r�l z3v Luww�-CCY.rwm./uW%�e •7saa.rific=nOu�.m,Gclaru�rn July 29, 2070 t7 Pc.sn15am5s p�,�p,. T_ri-State Regional Cze�ntory Evansville IN 26.\YesCaa�erLcntan[A7 T. \ameMECO.'npleu.'AdWessOiqmualFaoRry Pa Fw.va�H�metra�!1i ta. Q �� ,�b Z12II8t Ed9t Chdpel � BOG 5. Eebron Ava.,Evansvilla,Indiana 17714 FH83�O1e27 �ZP�. Syia�ce 011ntrs/a Fw�erN Savice ticemee�. 2)c Lsensa NumDer IO! Littnsee): . � (;_. _ ,( �' 2 .�,_.. _. F'D29�00004 28. Penl. �rtsTleCtanIXErenp�=�feases.4yries.Or Sum ns Cmdxx Frrest ResWa•ary Men P Vam�ata� iitr8xbon A lnl. �.I' 0 A�G�MdI t»!5 tl\¢CMSV(. v.vretia�e CausF (F�W Osease Q GonEi:m PevGr9 N DenT. S�rtnCa9� liv CmQams. tl Nry. �ca0rtp To The Caiae lis2G On iiie a Eeea ine U^OeMeq Gause (pseex Or iMirv Tnm muatta G. ��. e Ererv Resup.�p n Desa�I Lmt B On4EY.r S�aeCmGYfnsCaudaq'oDtan54+NR �iiM�'Me11rC �i^NIn3n1 �"sc�1 ern � c e�,( �'-�- � i s Fc.r �:� 3t.DqimamUwCaslWneioOxah? 32 CFmv�e: Ceuse OI DeaM (See InaWCtlons MO Eramplec) C.ompYtaums-TAat DicalY Caused Tire OmP�. Do Na Emee Ta�W Ererm :A. 'nxamo+�:ra+�q Rvaatle ro finppe ire Cs seU [e�m� s3. � a own. 4+.vmvra- trsmar ane; io Dea?. M�[MqG1uOf.t�ni� ��'�tYRel��1'ywhvvW�n9�4fcebfM,�NaH4�t9lPqv�WS.YOrypM1C. I O`W��:v00.ypYe7FWS�?T � M1�Oay8lFNVi 14�T�all✓dI �1¢. O Vam.ERsTnWMlr.aCYY ❑ S�m C^ �'WE�JiYeivl 31.Dke0�Br+Y(NaWDarh"ear) I3STmeOIh4vY' IlE.Mxe0ltVYfE.G..USCxr(flsrtx.Cmm�mm:se.Fesis�eawv+aa�Hw! ]J.6iarNWart7 U 1a U Mi 32. Locawn 01 uyu� - Smz J9 GCSmM Hw tlprY �ee0 3Ca, f.sy d Town � 38b. Saea 6 NurtG> 3Hc. np� Nn � 3EG. Z� Cm G0. tlTrdnlPWtap'In�.SG�f u a...nrm O vwqr � 4�sr ❑ m..lso.-A � �� Wun�.ryow.i.�r..�r.:or �ron.ae, /% 1�\ /'^'Y az. c..m�«�a,.�.o.,Ma,.� � 6 CMtAS�rrya^ CnorrO �kaLiCM� (e. rb--Y. P;sxsa 0.rc Zp ace Ot Pe� Ce^:fn9 W�e p Ceo-,: __ .__ _..._. __ u. t'rmse Menoer as. Cncsx a� f Ra�sh 2ate1, 105 N. Second St. Pzineeton, IN 6"1670 C���� � � G �`� _ . �Z 'Abs�. <6. AaCavW fitkrN Scvie?ro�+av: � .� ����.�� �.t G .i�r RQ ' .,9. F��v� z�. �o o��.-.�„Y�,, az.e Fun 70110 ATTEn't10N EStAiE' TM1e "walSttvQj tl¢ pei�p rp�Kt�tl 6f �� a0�! � d� m �'°� � s��Y ��s�^�Y. �e s vopettary aM mtt<r.� Oe no Ge�a.'y be r¢'aati THE RECOROS LY THIS SERIES PRE COf:F10ENTIAI PER iL 163 ). ��n f..�";:. .�. _.�__ "___.�, ._"_'__i' ; •-: �� ..;' IVRA-20__....___- ' ' 1�/os) -