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Death Certificate - Fry, Emma Kathryn_2/9/2009��������T�� � � �;OT �a CERTIFIED COPY COMMONWEALTH OF KENTUCKY FoRM vS NO. t-a CABINET FOR HEALTH SERVICES (Rev. S�OP) � REGISTRAft OF VRAL STATISTICS CERTIFICATE OF DEATH MUST 1.OECE�ENT'SlUME�FnIM4me.Caip ae lMD9A KATHRYN F21' naeo t50CNL5ECURIiYNO. .A L�sl 6.0 ��y'yN,�, 50. UNDEft 1 YEAft Sc. UNDER 1 OPY � � ( ays� (fbv5� �u�es� . „6 taoe 2 q I.°3 Q. FILE NO. X J. oArE oF oEATn fMU'un a� Female Oclober 13, 200� 73 Norris l'ity, lllinais B.w�ISDECEDENi NW 9a.MCEOFOEAiH(CMCharyme� � U.S.ARMEOFO�R,/CES? qOSwinL OTNER ❑ vo �61 w {] �+oauaa ❑ ewanoaew ❑ oon ❑ r+,��s�wn. O aeew.rce ❑ rnn«(SoxM 9p.FACILITYWVAE�4rqlnstMUn.gxesuBeldMrvniDe� 9c.GTY.iOWN,ORLOfAiqNOFOF.�TH 90. UNTYOFDFATM Norton Fbspilal Louisville Jefferson t0.✓wR�T�lST�TUS �t.SURVrv�NG5POV5E f}a.DECE�Elfi'SUSUKOCCIIV�TpN t2p.WNDOFBU5WE55�INqISTI MameE.NGWMVHM (Cw/l.9Mmadmiunv) (GNebtd�akOpsOVnimoLd WOweC. PwrcM l3CK�Y) rorh^9 pe. Oo MM ussiNieC� �1an�ied Rev. Dr. R.L Fq� Homemaker 9o:nestic tJn.PE5�0ErvCE-Sme tb.COUrvtt iJCGiY.TOwN.ORIOGiqN 1JO.SiREETN:OMIMBER Indiana Gibson Frencisco RR k 1 Box 3S9 �h.WSiDECIiv 131.ZIPfADE 1�.WASOECEDENiOFHISP.wiCORIGWi 15.RwCE-�rtwcsnM6an �6.OECEOENiSEIXK.�i4 Luursi (�/noare�-uyessperlYCuean awi.wrae.ett.1�M (�°v1'a+hM'bngaoamrtc+ � ueaanvuerroacanerc.) F1tM5ewMmYla�z) cme9el»u: ❑ �n � � 47649 � � ❑ vn ��'hilc } V. F�TMER'S NA�.�E (Fig MC9e, lav) 1B. MOTHER'SlUNE �F�y MqOe, MaCM $✓renH� 41'allin Cliapman blaude Urockett 19a.WFOfUW11'SNAME 190.NAILWG�DORESS�SUeelaMNViWdalivNROW�NUnWS, n�ow+t Iale.ZpCOOe) _ Rev. Dr. Yii�il R. L. Fry RR/t 1 Box 389 Francisco, IN 47649 MEiHO00fDI5PO51iqN 20e.RACEOF�i5PO51TqN(NamaNCara�ry. N1c.LOCATION�Cry,TO.m.aSb�a) Buial ❑ GertuYM ❑ RxrovallmnSlale °m�a�•°ofMrpa[el �.. . �Vest Union Cemetery m•mi, Illinois . .. ... ❑ omeYm ❑ oN«�soxrrt !I. SIGN/�TURE la o>sm ei n-l.olvpn �unerul���ome N. Main Slreet Oakland City, IN 47660 �a alelM (MON15 Sqneve ero noe `/ (MIIST USE BlACI(1NK) N. wwE rW0 ADDaE550F PERSON W MO COAIPLEiED CAUSE OF DEATH (IiEM 38) Dr. Steven D. Classman ?ZO L. Gr•r} Suite 900 C,ouisville, Kl' 40202 35.litnEOFOFALN 26.WiEPfiOt�OUNCEDOEAD(NOMtOay.Year� 1).�v/SC/SEA 9:59 �'A1 October 13, 2006 3e.vnati.md��.�*atsnrckunean� �e.u�'ua+r��m �u,m>ixmoaeaas�s.wmurxma�n IMn�EDIRiEGUSE(Fiu' n .r. y`�. di� CS ft�✓�° - aueusacw.atun lT� 1WC %Z S/� � 6 cuE CE�FT veswg � aeatry � � $eP,ennmvus�mwsw.d " ���.+�l.c�"�!'l ' W i( � N N� p(ry. ildblg b Y�unlBdlO rnna. Enter UNOFl2LY1NG UUSE�DCea»aiqvyt�a� WEi 10R � t+50uN . HereO e.eruf /esmiq n ceatli�USi Q �J NOIw& ❑ P�5 ❑NuesOqeCO� AMam1 ❑ SWaae ❑ cwanae. ae�em+�M � IWtitiOe ❑.�, u� ]Oa.O�TEOFINIURY b �uw+h �Y. veol . 30a. RACE-OF W IURV - Pl M lactvy. ofGCe dildrg. ett. � � ❑ V» .yi � d a cmdlm kl0�9 a tlmNt [� Yn UHY ]Ik.WJUftY�TWOFI(i ��OES � Ytl ❑ � ocr z a 200� ``y .amaie unwr onwean wn vd eesu. IU p�a b