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Death Certificate - Edrington, Clement W_2/18/1988.., . . -.> .,..--:: -,.: F�OQK - ��- :alNo. ..........��........... .� , � INDIANA STATE BOARD OF HEALTH CERTIFICATE OF DEATH State No . ............................ DECGSED-M1UnE iK51 M�DOit ce�e�,t w. 1 SCa ] Ds�E Or MuH'w.o., m hl Jan 15 1988 I`!f9•' �=^° °iyi "°�• "'°^.• �.nkue�n OiMCP ❑ Nvurq Ilav ❑ M�q�rc� ❑ Qn�r ISp�c/�I GfV.fOW��OAI ♦i�ONp�DE>f ce CW�AIO�DVIe Evani,v�2e, Ir.d. Vandeicbung Ca. Ind. IL OECEDENi5U5UKOCCUO�iiO�+ lCiv1 i/N OI M� OYU N/�p �Y �1 W nylnp Y� oe�pa.ant{ Indr ' G.�baon Uah,2and C.i,ty, Ind. \. W90E CrtY �1. f�Pw� Up Z�� CO�E u W>5 DECEDErvT OF wSOAwC Owpwr y�,5,��..d,� no 47660 . �5r�.,�ar...�,..�.�.,��.n . , u..r✓t Nrro ILC�n �K) ONe ❑ v.� r . . Svc/Y. •C 1.FAf11EF5Y � IFVrt �, .� A`� �t,�'°`��ii,cng.ton aiien Ed•,.i.ng.�on lwi.6el �.�EtnO00f WS�OS�i10H BuW '. . ❑ G�+uum ❑ M�mm'Jban5ul� o�.�..� ❑ o-s..isw�y� S�G`uiUPE Of fUrvEt4l DWECTON � : . .s� ��,., ,� �xe aw0 Of BUSU+E55N+1'15�A+ Seccvu,ty Co. Ua 51IIFE1.:uD�N+�OER 23G 7/tuae2vl� S.t. IS MCF->mn<mW��n �0 OECfO[NtSfDUC4110N &.U�6.�..n � ISwN WrM^.��a.a.rmWrM �SOWIr . te. E�.m�n.,��5rtawur W.41 I Cw.w u.� r 5• � /LLl 9 I IpMOiNEPSNGME�� tAbd�M�q�n$ur�.n�l ZeZ�a Ecin,�ng.to�t i��230 �T�iuws2vr.�°t Uah2and Ci,t�,�.I icf:��.� �GI.c6e•~� ]OO [��E eHD R�C! O� Di5�O5rtWN (n'�mr d umnny, o.m.rv�, v ]OC LOC.�nIN-Cry n lo.+ Sm. N�1°31'1988 Atfunaon Chape2 Cem. I Ca.teav.i.£.2e , I�td. iIOLICEN4NUMBER I]ZNRAaEADDAC55�NDLKW$ENU46CHOiiUNLiYINOME rvn�uv7�: ,d�Kr.�, FDE 1O16589 ILamb-Eaeiuun blem. CIipP. Uah2nnd C.i,t�, '. �d�i� �� 1J�.c o� . I 3Y To W ww d my Yro�4ap�. a�M acvrt�� M N wv. W� W Wc� �uiN }lo I�CENSE NUUBEF 1X. Daf! _�fJ�FD ur1 uyMP'��^1� 14bvqOV Yupr1 .N4au.�..da.n� . ISVV'+.wrw< �, ayq�/ � -�S'd IIMEOFpEa1M� ]S.DdiEPRONOUNCE00EA0lAWNOry.Ywl t6 WP5Ca5EN.fEwYD10ME06�lE+auwEP/COHON[A� $�� 30 au. �-r S- g ,..,>� v�flt t� '. Enw ty d.••w.. W+a.. amyc.uon. Nu <.u..a w auin Do roi .nv vy moa. d arM mcn .. c., .< r,•.r.�ar �eo-e..•ne •••. ' Vr.4 Nec1l w M�n I�M� v�I WV oa Gvu on �un W � w.n.l Ptl-..� . . . O.un W Duin �a.reu�sc�.,. F}Ity n GP�S4�pO6.CiLtttg 18 Dat�.l� ,. a ��.� . e.q n a.:N . WE i0 cOn a5 � GONSEOuF++CE 0�1 ro�N��ca.s • 4;?'S u b.nwu�� Enw UFDEIGYV:G E lp��r v Naf wi.a ...n. - q n auul USi n DUE i010M <5 � CONSFOAU:CE Of> DUE iOIOA �5 a CONSfOUFNCE Of) a f l QMr �qNY�H CYEnm� LWibA�+p b O��L� M M r��tup+� N� vtlwly�p C�Y�� 0'��n n✓�r11 ]E� W�$ PN aUlO�$V ' Ra�0a4lD+ 1 /r� b rol — ve.e CEHiIFlEH flivwG�MV51CISNIPoV�<�✓'[✓✓r'TlueuNMY�wMn�mt�uvNprwMwbwTrec.nn�M<e'^d.r.Gnrnlp ICruc� a+y ervl re w Mw d�� o-Ve��. a�m acvreC au� io v+� t�uwl�l W m✓nr .. .�.�w SIGiPil4Q )ED M'f�! sU�0�5�lwpWLS �v�t�Bicvnpnt0 CON�'.F IION O� ��USI G' DE�� ✓•� d rol y o..s .._... . ._._......... _ ` ......_..._..._..._....._._._...... _......_.._.._............__...._.._.__ ..............__.......___._......__...._.......__.___ _...... ❑ GPONOUtJCWG 1ND CERIIlVING �VSICIIN lR1Y�w CON pOKV�[ry Uv1� W tM/Y�p [w�� d J.�N To W M�1 d m� 1rv�MOr. e��P xtvr�e w tlw pm�. Nu W pl�t�. v�C O.w b uv t�u��l�l w Mm✓ �� u�N ._... . . . ... -_ . . . _.. . ..___........ .._...._... ❑ M[dC�l E}�uwER .��/( COeOVER O HEAtM pFfiCCN . M uM w V. d�.vi.uuoA v.:; u n.r.M.sn n^i xNro� :. .. ac.�r�C �l l`.� M1M Mt�. • wc�. ✓Y Pn rv w�.�v��.�) �M n✓M �� MM ADDAF55 0� >ERSP'� �0 CO�+oLCiEO C�USE 0� OE�iH �iEAI }))1 typ/Rn0 p�f�CfRS SICNAPIHE lc L�CtNSE MI✓BEA tVa 0�1[ SKNlOI�br� Q�. v..•� anuan�� 15.198b ]] O�f[fR[CI�b�Ni�f.Yrl JAN 2 2 ?9�yq �fA O� DE�iH �!. �O��y�[YM11 `� Ne/1i U 0� /) Nc HN�rro, w0�> >.e DESCwBE NOw ��Aiu. OCCU�.lO ... .. oF / 1/ '"'"� o""°"° Dec. 28 1987 12:30pm No SCC6 I�ijec*,ion o$ Poat�i.ing �..��5n�en �trNr� - _ LiS.<a. ❑ Cwawe. ).. tt�ClvwAUV_��w-. i... •o.. i.n....r« ' iu itv.�•..�........�...._... _.�..�n.....:..-...:..._ .._'....� .. n....__., .......... .:.. . ..