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Death Certificate - Folsom, Richard Allen_9/23/1986� . . _ . _ .. . . � . . : . - = - . --- -- - _=- - -- - : _.. _ .. .... : ._ _.. - -_.;i�:_.. .. - _-7l: - '�' - �i:� --iE��. - ;i_-:�;" `I'"_i.i: - -;{ ��''� �-- '•i-',+�i .i': -7t - - -' -- .i":(i' �RECORDbF..DEATFI�_ :,--;;=-- ---�i�!"'- - �s`=- `t--:I�:�-'t•--L'- =i�= - -- -1,:�,- ��,�, ;�_....�;��'i "_ �,...=i._ ;i'�. -:I:--,-.i!--;lr-_:�I�.�; __"';- -:1.� �'•�:"' . - -=:i? =,. . GIBSON.COUNTY::DEPr1RT1fEI�TT:OF;,J3EAX.THi=t`�==;i=-:'r===i:= �=, .�:—;:, �:..' `-,--f��--^ . � �PItINCETON,�INDIANA� '=:''1=ii=j;.''-�`'--'" � i .�7_ — �:Eht'r.y=Na;48--- .;,: '"'=;j�ii — , sc., :� , .. —•ii-:��=- :;• - - � ?iW t--_�• _ j_ i,_..�: �y'. (�: :�- - � - 'i- -' -- ��:,tt:� '_ '';- ` _ �• ._... �t��:.��-v�.:t_ ..1�^t' _i: _ `'.�: _f'- i)'.�. ' .ii .:.!_"'_i.(�-if—.t1 ��:".i: ,�.?.-. �:THIS'IS Tp C�RTIFY thnt our records show A�ICF.ARD:ALL�'N�(-FOLSOM=iI-=( -�_(•�� =diec3 _._.:1.��:i� j 1t.j� ��. t:`. .. �� :�.��.� �.1_.i.1i ii �l ��.,`.,..1:_:i_1._.'.If`�:.-::�1 r t'�{ i�:tF^iY..s�.4_-�I.i� 1.:.`�`_ ~�=:i3eDt..-.-:1��:.�1973 nt_2��Tt .-' �t, . —'�=-it 1.—t�=ft.=:i�- .. 11�. G en.._Eos p, -Er�l:nc e.�on nc3�._. �--... ;�i.;�.monthl;;;'day.--'year �� „hour of�dcath �. �_,2i , ��,t � e�net;hospital�,:ivral �� j -�;j�.--f�=:;- '_'i(' �.i��.i �•� i ��: _,�� i � ' � SI �::tr .� (� __._ 1 � i "i�° �;• � +.. .t . -•ffi= �!' .l{-�-:I� C� �+ -�, ,i�:Age`�it:Death.'4q�'.�'`!:�ex..Male �•-- 'Color''�White=— TvYaritalStattis �{—.��-Ma�riecl-•;'••-= �i�-"' ��t-,M„_ -Yenrs:- '; i __'."'; '%'-�'t'� 4'' !% ��f'i_-.._t��'..j1.:._'',wrtte'pvhether_Snnrrled:ot(sinqlc. .:�� "�•') •fjC� :iv '); '`'_ _ I� ,"_ '�. •�S:>:' ..i�.��.r��..�i.�.�.�_.�.11"� :�I.1.ic'.�i.:;-:.11�-i':il:ii .. .. :: .:;..:'.::'-, :;' :. . . -., ..+ _. .� �._... ,.�..,,_._ ,: . . .;?�=,'sE,._..,_M.,. _.. ._ ..... . Cardiac arrest i, Ii . !i ...i�-_a;.��r��l��i�u��-=, _ Pnmary._cause,of death �ven "'w'as _ _ _ T __. _ _ '.> F `��.i:1,�. •"�t`;I'"� .7 _"!� i � �J �.� E� � i�, �j.`1) , {�' t� ".ii' � - - - �1 ' - --- �=� :i; _._.i7�.(�" � � _ ` �:�' _i:.�....1' _'+^ _ "�.' 'i'_.�:��'�...-. "" �.:�'; ..:t�' '_"'�'' �}� ;ii_ �..��z.lf" ^!~' ��;�i 'ed.�}�`...t.''ti.Gi'lbert `A': Sart�;r�:�`M;.R��!.:�` ��pri';,'cata.��:',Ind1�.i�.�:s�_�{-.S—..tl'.��.,: ,E.,�: i i : . ?n. y _ ' n:; _ t ' , �i�_ 'I[ -y: i'I�,.=:�;�physician or.coroner+. -' - °!' '`'-- ;''� _ �:iddress_.: fL��.�{ :.�., .iT'.�1-- .�. `SC��. `f�.i>I'..�"�. ii:�� ' ^.�['^'I)—�{_._�!"':i^:If• ��''Place"of,buriul:orremoval '' ��--5omerville- �- - So'crervll'1>t'""Inc�.-�� I�'= .;`=`�'_ �"Si: '"'-�tiC :i�_nume-nL'cemetery:��:-w�i--- - '-' '-_ .address;��""'�i"—��"�^ �1:J!;' ;;� _--.Mi:--='' al ._s� _ ,,;_ ;;:_':,: :E :•��t•�i�r •:'_�.::'_`_= ,,..� ii'�'� �� _�� -�Date:o'P.Uuri�� '9/18/�3 � ,�Corn�•Mortuarv~•?�""��'Oakland �C1t,y,..Ind � ; tl....� .=' �:;', _ -_ :}i';� 1; � � ! 'Funeral'sDirector-' _�-:li:.�'.:. "'i: `.�_ :'_address:'_;t-�,l;;' i{ 1; i.11.-":ri:" � i� � 1,_ �.__� .. '.:_ i__,� �. � ._,; 't . }__. ! _` �.,� ::..::.ii.��9_°.-°�l.f�':1i::�'':�i--""� 1� � �' , . , -•i: �ii:. _ ' �� '} _�+`�i =:.t{_, ��-y � 1 F>�., ,; +, .,� , ;,_'; ;:-- ,- - k �= il � `i �;'� :�:= �.: - , ; ,, � , , _ II , _ _ _ , , , , ,- , , -,%%, : /,, //�i �� i . _ . , ';-_ I� ( � 1 .i � I � � �._/�C/N� �U�ln��:!^' �_•.4.—�1 i -�. r � � �,',. � ., .... ... .:_SEAL �` - - - ,Signed--- — . ...... � �„ :Gibson'Count 'Hcalth:Commiesionex. " ' _ ' ' _' �_ _.Z: _ "'i: :i[" '' _ Y _�1!'"'_i: - ii�:�I.�,•;i' '' . ......':. .,.. �. �.-,._..... __ . . . .- . - : ?c;---�!-__.`' __- - •'Prir.oeton",-:;Ind: = �;,=�:2�2�7�4-_•:. _.. �' : " _ ��"!�: _ - _-ii°r --addre99; _�_i'r__i:._.:.i�'C=1i�:=�f=_.�aac��. _' ,. . - :'ti-. _ Ii:. .�i� - "`j� _ '..:�: °�:��- Y:�--li- i7�:'i��.�..:i-'1'- �.Recorded''locally~in.book•,No:`'• '=$ � � ---%pa e�.No.�_t83:~:�Filed:�_-.•9%19%7_3 %�'n.��.4I.i,:i1-:c:��_,=i1:;-' . - _ :r'_ -': _=�i_ .r_ : s :�r.i��_ti--_i�__._:��i.:"_ _il.�...� i_1�_ �;.a:.�"�'_ . _ -;i:_ ' .�� "r.�i�11"""�� ";f-'�2 ;`i�`TII';.i.:eS' :i. ��-1:'-ii-'il.�,.7!`�� "' _ ,'i:'_ ' �.i[ _ _ '�^E��- j��..'.. "_tl'_'�' `1i�ii��'�i_{1._..n--1: ,�" �•�� %i:�. :�:if-�<. :l.,il C�}� .i4:li• •.ti ie.t:.i�.�. "_:1_" :�'r; . - 'p ' . _ 'i� _S_; �_��: � ;?�'�::._,t_":' '1�" i{" �' -7�a- ;I.+ �`_r�.- '_. __•.i� 1_-'--.__-.... f'.�2�_._ .��,:1�..:._I'�:]L�L'��_"iL"'�..1:i�_iiL:.:::t:_•e. ...__:u%_...::i_lLu.i1....�Xl.ave.l!_�:.f._u�:...