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Death Certificate - Douglas, Jo Ann_5/11/2007._..-:_ _ ..��:.:�� ,r �..�:.s�_ . _ � - - .�. � ._. _ -� : � � �._._ -- � .� +ATTENTION OEUt3�C9UC51N � -..- � -_ .. ..: . . _.. ::.� �, The Soclal S�cu. y 4 is, ` stateagerr� Inorc-rro INDIAh�TATE�DEPARTh/1ENT OF HEAL�• � ansioairy. oisfms�m Is w �rnal'Nle(I�c.�l _ _ - -�:-=1:�=(-��U -�Q�'% GERI IFIGATE OF DEATH State No ........................... TNE ftECGROS IN ilflS �.OECEI.EO.ruvE 6� Jo ues�. i.a P�n � c yo� >• 1m2P.�50CUL5ECURiiYHUticE0. L..�f-i.ami+v� ' D�y� t+�+a ^ ��y! .-: �eau�.i-tt;��c: •VS.tE.EPMn m Z , �� u:.en�mrcaccsv �Z^5 2 m� I:o N/A �i ~ n :h f�C•Jlvl'NYE IUM' �-"�+nnqr!CMMlrvr�Y/ �-'_-�� y n Tho Waterc of Princoton ^^ m y•�`� �� 10. Y1FIiIlSia:�l :1. SWN'.":� iPW:E fil ( � li+ed.l ia�w..9^�n.:a.��x-+� N� Q Q �i�BVBL ridLLlBd O"—I T!Ua. PESCEKE.S;�iE I:a CWAN GZ��i y0 0 � � Indiana Gibson T m n,u.. �accce ia. ws¢e<itt:w�s i.. n:ru.•+cv mn A' iS no ❑�es I rn.A: eamm� '��. O� � �]�. G%.v i�.at Ntll� 4%6Q8� Gl � (i tl0 . Y<S �%.Jh %�i.y Il.i�:MFA4N�uE IF4/O'�e.ta>1 .� jmQ i;illiaja irencn Doucias j� � � �t :ca. uvaFwvrs.w� �rnu».p � m j � Gerald Douglas r � _ PER I� irvli4.10 ylas vcr��c g �CY.wA :. :.cs nu� os cun� 5_nale 7:05 P*: wtr.a w�v e. o>ac=m:;�+ tv... ma r.� rf 4valn ttober 0"l,1936 _ RaCE^'C°.::� (✓.nary��.5rbc O:I�Ei❑N'✓y9N.anx � ppt � F�.4�Ma. it. CI]`!.iONh..]PLY.l:fe�G[=4�H Princaton OE:':£N: 5 USU,I' A"C:R�:CV l.:r utlW.v: OY� v`m�'vup W�rytt. 6, �r u1 �K 1 Y. CI:Y,1C/.ti Oq ICC�'.1Ci! Fort B=ar.ch f v:+. [cccoen ar ��ua:,vti cAr,i�:� W Nc ❑ Yaa Nnt � cr..i. / ��fn. Aw': A�,t�. r'<) Itl Wi[CFOEA:�� l.vn'nt0.l.✓/1 April 1, 2007 w.+nc�:.:tr,.,er...nr�.,y ca.r,� Gibson CownGy, Indiala r-r�.n Cibcon Ih /iIqCFQ'J:Jticy-1,\O.�IRI Laborer IID. S:PEE. MC I.ti4Gd 2891 W. 600 Sou=h �e. n�<; ..-.�.w.��. �t cec[rs: :cw=s:r_r: RwlN�.l...r:. I.:r�.Yi�irN..>V:✓�maGY!/1 i:�� 1 — :�eme-_�'yacar��oql emr_.(:..n:.l White 12 Ifi. VJiY.LT5N3Y[ �iry.Yy�.Y.vJn�$urvRl �te�esa tdoods SO MAllt'I�MJFf^�.^.I�.YW/.�NwvAiNRy/n'�.:ftl.Ul>IC+iSYf.�I�GH) 2713 W. 900 South Fort BranCh, ZN C7648- OT i�..uet""Cie.SV_ �i�Cn �:nx�nmf : o.:E�{U�';M<'_O�qs?C`Ji�CUi':�.•�anz�ey.oe-rn... :'c i�Ca:KW.Ceyerle..�."�, pN LT� OCmma!m ❑P�..�Yl�nn'JI! ApLi1�� G� C00% owu K� ❑a,,m, ❑�,,M,�,,...n nurial Blythe Chapel Celaete_ry Owensville, Zndiana ZD ::� F11YLV�N'6.wNC }� Ef�2tllIER5l2EY`.aE1.9 �. t.�SCE�inFEGCFIFC:OCJflb.C=� C� ❑ Yc5 .^r.i❑ Randall K. Dike FDOi010177 �"' cam. Nl�.: . '�LWfGFfV'EGKC::�CiG� �]tICEnSE'JUUEP -.I:JVC.Y3:l:5.<::pLY_C'SEM1US'1n._eCi:EtL1YJ1.'E NZ � �'� �d4'"°�•� �oldecs F.�. o£ Gibson Co. IncFNBi�JCO2. � m T� � . / d / /r � �m, �L�� `��"L �01010177 3!9 Souch Nain SC.,Owens•:d11e,Znd'_a�a i9665 '�O�tlPA¢TI E'.IttYe]vassa.:V'�.r[�:y(:Yie[JU+'.n...4)iCGrv.'IaRnn>:;'�[afc�wy.K.at<aTJ[.erc�+Y.'f� C� Z. enfJ Yv� cN`Il��n WM.:v�ne�uvmnvl+Fe IrtmY9alr��i � �i �i . /{ 1 1l h 1N..e.ID .U.. ��NEP�i,4�EV�r a � , i� "' •t �.�_ .�...- � =p °K'Y��°^�'b^ ��ru�.s.ccrr,ecr.rtxe%.i: _ � a mz �^�a���� o -' � O Om: c'.a,.n.e,�r..�.nc�.. ° '..Ti (') c. tr.�.au. u.Y c �„ m(� � � vn+svew.mr.q W_ '. ". y� n � p � �- � Sv 2 �� /'� :; I.,+,/,• : n y? v�w�n w..ycwK,n.,..,.�n.aK,.,am..m.,n�:_e.c-.�.rn;,�� � nm C! y y0 � n -'�.i m Dn � m. � 0 la. CERi1fiEP T�� !'.h�au'� g.Ea:�F•t'-vn.:K��4 ia�ee�t�Cn�:n; .i -i l wel _ II . � $_. ❑FE41n ' fP (lnNeMl.]t � m =m . / � C' UPn4uatl�/���'��!� m cl :w we..�uu -_. rr¢a > p �/ � � �� �` ;. „--,�� , � � y O. ./Hw_AV' ep^ys5cpe�inSC. t�n^C[vRGEGGV'1Cl�: �:C m � dIOCNnBrYnnMa� �pDrc�� rinrp�nn y0 � Z n. rrwttna•rKea� :rc:n.rae � %�� ' — y� . � � �� � �I 2 A. VRC�EaC'OE+:M La 9:E0'vUVC Ir :n�EL� '� ��srm w......� cw�tr 3 � ❑�:,>.� ❑« � ❑ kr.!vSVC� ivan-zo nrosi c �iCEC:2E•lT i4'�tiR.'�A\M1��KY wccw.a:mwc.rs r�uc4v_p, a�iF�F:c•a: (v.=v.c1 �..�, ,vi No C.IPC H'itlYliP9C:Ta n`Jn1411LE1�bCNiG CO�.•.VLETiOV OF CalSE ccum: p„d-�i =m a me w-<. urc. w pxa .m ae m>. e.�ia n vea n'1� .Ee�N-:l.n�.aWMw.<Je.o�C'lxt.v�IC�bP�uvlUassl�lnl. d7 i } / � %�L �/V:v.�c.a (re .rol KKeV J�a VJCEOfPVF�—iVlcCV;Ixm.T90M,fi3m'i.O�LCC G s..��� ❑ m,.� _ esans. �_. ia.�:�n � w a.._-�.. Yp Gn:EGPCM'.`W:.EC[YJ,^, I�r.�.Glf'nvl Y'. NO:CAIVICL'MCC�R'.i) (Ye:orr) No 0 v[Vqc:,KEn_r Wi. ?:. /'i �.i'�(:/.Il: tC\.::KV IS✓'K.T<::me<a aryPx-e Nv:aev. Gf >��^+t >+q luzk'^t�.vU-v�n rr MAY 1 1 2007 ���'� � GIgSON COUNTY AUDITOR