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Death Certificate - Douglas, Jeneva E_3/9/2007-� � :w _ . _ �=� . , , � � .= y13 7.6-71 • �77E/rt10N ESTATE Tt�e Sar21 � t n .. __.� s,... -_._ ......._' _" r bam0 `ewe5ee by Cds ate� a ro �' ;r-wrzu m r,evwry reapo�,ddiy� ��lA STATE DEPARTMENT �H iN ",�t��.w4urtary vd L1ora wd m ro O�netty bt nlueal "'-'' � .l c�C.�I.T CERTIFICATE OF DEAT}i State No . ............................ s_ -.;�°:.Caal No. ................ _—= n�aecormsanassen�su�caum�aviP:aK�wr.�.ia 'RINT '�°"�"°""" Jeneva E Uou;las ( O �G=; > -1 m i VE� a'wG/.t OKURrr Xtwea L.tF—t� Gn+r y i'�jN` IY�I i 3>_� INK sv�u�i�srsawn� Do3Z .usv�rzw, ua.ncw�a_� n nc Z �?� \o \/:i ' ' y c) oe r.cvnw.cv,s��u..w......,...., � = — J i The ll'2terc � miap � _ y � t0 �uNlKS:�M �s.�..+ I�7 j Z � �VIdON'Cd O �OT� _ �a iasce.a—s�.rz �i�c,� Indiana L ia cou.n 'nn �.'+DaWO[ taaBO[anwrs �•a:¢enV ��a i.'M i1r.� M�iCW � � � a%6%U ��a o!: � fuvr [!.$.A. :n <n — i�e ❑ v�. n j� O y I[ f1}1U�$ NY(!(i{ �(� _ j v o, Asa Carfield :ltnip � C > -' �T xi w[ohu�lSrurE�t.v.m.o � m � ° � Carol 6tason r � xi. �E�1wDa�at�oSroN ❑ F.uer G = f� > B e,.r ❑ u...a ❑ x.�.. na se ji ❑ m� Q o..�.so.vn < C � 10Y � ��SN� � y n �d :1 COfII na '� 1 O/ tOR � _ �'���r I�1 T '� N => > _ i rr. w.�.� RiLL ❑ WY� ❑ Ea,�.. i i �> >[ct �. sx v n.a o� outH Female 10:05,�il1w ♦r sa�FOrewN�wn.r.rn "' Jul}• 13, 1913 v�. n..0 1 i. ?007 ��a mo �s.P umn Springs, Florida 01�Q! � IY�V 147 ❑ O.Y �SMJ�1 c�on.rownwiouiro++�cur� IvWw*�oroucn Prinrrtnn (:ihcnn w�.:..aa>-e+ ia vaoreuseFSS,naum �v ��......o Liquor Srore ia�an.rwn.anwu.au ixsr�nu.onamu Yrinceton 109 �Yes[ GarfielU is w.�5 ocCm.T a�u�C OA[>+� I i� w{E—ws. � r+. 7�n o�.. .e.N. C,a e�n m.. u �..a. ti�.'b. ci �N it. Mt.E`�B�iS@JC.�i�Ori �sa.•�� e+r �t� rs mv.e I N'hite I 8 I 1� upMA$tlYElfriYffa\Yr�S✓n�tl R'infred Vlclett � ]few4l+G�ODrt521A�wN�a.�M/brrLws.Urv:aw5e�l�CaW x]cusow 109 «'est Gafield, Princeton, Irr �176i0 Dauehter tieo�rcwcvucEO�oaa05:navu+...a/a.+.s�cw�sr.a xicioG*q�C�r>�e...5.. .- .�-m Jan 20. 2007 i.O.O.F: Frxnciow Franci5co I�' '.ID 00W6�54Cf)R W Fll010052i1 W uCENStWMG �r�o� FDO101?933 1) W�SCfIiMRE9pRTE0�OCdVEM �� a.e n MYE �ODRESS u,0 UCE15E �aalBf OF qA'EA4 nME Col�in Funeral Home, Inc FH830056i1 425 \orth dfain Street Princeton. Lti 476 i0. � "O; noui� 6.�e+.�..y.�emws.e..u...b..waie.n.1vs.d�snw«e;ru..�v,.ws.. _ .tpP..�e_ O .�Z ir�aN1vti11�V�WU'�'OYtYi��[!�W ���4�� l t O l_.'� ! 1 dNND� -� SN WfCURUlbfff � . (J �O aw��sm+es� �/% DlkiO[Nht�Gp�EKiO�I ' . � mZF a . � I..r.°.,...0 i.i�.J:,: �✓�7A1�....(c-. O � p Cama�a I nr. r.d� T �� pF�E�'0 tOR /5 � CO'@'ptOCl On� I. ��f � �.11n r�awwp�tar c .JIiT_..'6p{ t�„��/� : }ll��. N�l.�l%i �Q vVMVtlNrN `T1•J�Lir.c o a v..`. aaroc� •c a� c� � o i ' p _ a . , Z () �_. v�ai � Gr w+w �e.ees.. tneem. mee�a e ae>..w o-wo�+r e.a w 0.n � T� w�5 OE�o+� ]e� w�5 w auis+sv � � m AKl4Ni pl A CA�S t9�@� ZO Q roSt��PnM Iv�ab � � T '. Iv\Q..� VO m � c� MF1E ING6� F�Aw6 �aa.�6f p�q i0 CQilEi1W OICf.Ug ' or or..nn�n. s,m \o n "' �o.cm:RU Su.rs..cw.9C..i •un.u..a.r•,a—.a.e�.xc,..e.n..�a..sa..m.n..a..�...... � Z � � iaw vy � ��: 0� ❑XFKi11ORC8I O14LW�tl�/I��V�IWO n�4 laYClomrt�C�NS'�fyY+Gt�VCO�OIIiMfJUdC jTn CG�OMFW N�+��q/b ema0Y�6MOmnM�MYMYNt��MJ�nOMUr41W�wrus6 '" ,.,_� � ro. so..nne .+nE _ i / / — / ` 1 x �m2.�um1sE ra. sa o�t[ snmuae� oo� •�+ I� y � � � � , rp -i Q Z ]C n '.�pER Oi aFMOM �MO CO�/IFTm � n Bruce Brial Jr. DO 110 North O - � J e �i �v.�n� o�.aaxs sa.nae 2 < � T xi �..wnorou-. Z ; �Z � CYM1VY ❑ C�+rV 0 � Q K�un �� ❑• I� G�utlMY Srw � 11uwnY L ]P<T��e Princeton, fN 476i0- JYO�RO�hLIiI ]YIYE'.� �4PWI1V1lWOIK) �rw4l.rti nAI'� trv�..d W 0.�Q V 1�FAVJ� row /iw v�w e�rY, arK� � W 4WM1 �.�Swrl�l 8�-�'/./a 1 _/G -a ? ]4 OCYIlE ra Mw�r s _ . . lY01iE�MpMOV�ULDE�Ol�4wM.rrn ]nYOipIW4tE�LC9GC.lrwrrol rrtiw!Yd�.as�T.or�w�c' �,. � \; � SDHO6-0OM1 Stx:e Fortn 10H0 (R571-99) � ' _ =, IVRA�20 =..r•!, (710.5) n o.rE run au.w �... r� e.wn5m)