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Death Certificate - Gieselman, Larry Morris_7/12/20058235 • ATTBITIOM BTA7E: 7Te Soaial SeasW � lf� � � . -_ °Nro'°�"a0 °j"`� e'.INDIANA STATE DEPARTMENT OF HEALTH - . a�a» m .r�mr - � �- � „ �. .ynNary W tlrrc �r0 Ea ro pwRY kr iohatL '. ' - :- • . . -..:_ � No:..�a.".:r��X?'..1.:. CERTIFICATEOFDEATFi ' StateNa ........................... - - -.. .nE�aiws�su��nnxrenc,adr-i.,a - .'.is..�RINT '� �.•••, ..� � a.��w.t..o � � . z oex s nEaraun� a urzavor�m....o..� _ . Larry Morris Gicsclman- . Malc 08:2G PM� unc 13, 2005 � y��ym?iNENTa�wau�i.n..�a r�-+..e�+.. siwa�rw xvaa�w. awaarmern�.o-r�» r.sma..aior.aa..r.vc...� � � � vW VJi6H��r1 �. � r ruQaaAih� �.S�.�m�) •us.c�w.n us��wir�s> nmwru ❑.s.. � a� •O�.ww.. Oa..�sa.�+ i Z m�c YES 1970 � —%1 e� � oo,�, �-" -. p ti,s,e '�~D wfaum�wcuivw��.w�� X �con'.rw�xa�nundvoun� nmu+rraor.�tM � n � i� y n (;ihsnn C'.encraf �Aospital- �., �'� Princetoa Gibson m`�O �ou.�.ns*.ns i�._sinm+csM� �soecmamuau�aenv.nww+.vs.e+ iai000�eus�ssr�umm' ur.e+�e.�..5�':�. `..m.omrr-aaown,a��...o �✓ � z� Mam �d :=� ' Rita Millcr Facto • Worl:er Manufacmring Cti� � 0 0 �y ------ ^art .- �a Cawn k arv.rowxa�tOUnw : �x smxruoniuee� ��� I1� �� �;�=• Gtbson • Oef:IrnJ Clly J30 W. Mu�ton Q) �min �a mcoo[ u.«sccanu�rs u a�s� '�iw.sac�e.rs�utov� iaw�-�....�w �r.ut�ertsmur�nw �m(). Orw i�j�.. r..urcaMM• �w Or.. n.�e.�hc�s, sa�w...c ' �so.er�+r���aere 8 �nm �\ y0T �76G0'�� osw.`r a � _ U.S.eL .� " .ro.w..w>�� �'(s..M a�vse�+im�a �+an�ea.� \NO� ��F�TErt3nucWauWaW••. .��• . �9u0i�ER5r:��4ffiuua�ran5u�1 zpn' R•rymond Gicsclman 1'ti �� Hazel Collins nc�� wr ar.sa.urrswucn�ea.w.e m uurcm�ss�o...uw.e.d�ro+w.a.:cv.r.�..s�r.rme z� �.+�o >� � o Rita Gicsclman 3311 W: Morton, Oal:lxnd Ci[c, 4�I 47660 Wife � �� x�.rtnmosovrmtv� ❑c�.tr�. x�awnuora�ciaavosria�ua..>�r.e.�r.s xk.wunw--caer.�.�. o i � e,,,i ❑ o�,�„ ❑ ti�..,,a, a., aw•o.x Jun 17, 2005 � y ❑ o.�- ❑ o�-.s-w+ Somcrvitic Cemetery• Somcrville IN c~ m e,e�w�s rwe rn [�w�rs utels w u.r�s our� �artrm ro ca•arn� =f10N E� ? vD, Da�id M Com FD01005271 �"° �•`• m°' : tVEarnrnu�a�ran xw�Ce+swueo� xru�e�mosuouc4nsru�arweuiHdc ""' , �� /f ""'�' Corn-Cohin Funcral Home FH19100002 n-i (� FD01005271 323 N. Main SC, Oakland City, IN 37660. n >� �m. � .�O nrurti [ s��n.+�waw�a.�.r...eivwwoa�v�.•..Wcr�..urvsw�vdv Nvm+ _ .�Z �...r...v...�w.��.��.....�.,�.... `...+ee.. � = O ` o�.�r6� „�„h�a,,, Pcute Myocardial Infarct � y41 y�sm�Gwn OlEi00N/3�CC1$Ol6Ki0� . � =�)F �—`�^°�"' Coronarv-Thrombosis 7� rt1 Z e QA' COm�IA.�vP'� p<iOPK�CPGR0�0i> r _n ,� 1..��a.�.+.. � Ahh crlcrnl-ir ('arrlin��aC[�tt1PT' DicPdGP �% n0 '�'0�'°"^ a.croontit�caaFpue+CEm N � O e � � Z rurt� oe��s+��.r....C.ra.��vrwe.�av.�..wr�on� n � �r w�z c<anFwr rr wtisu.urt�, xe ��urtaes�raora O f/1 S MCOU�rt M p Nn o9rEnED�� �vuaaEmp�ro � RIT ppSNYrtWt (Y�etl COWEi�6GWS ? `°n° : h;oderate Pulmonary Emahysema 1Ynsn° °0i"""O'•'°' � m � NO Ycs Ycs � Dn � �Rf �ytyptiEA �C9rtF'MGwvSiCUM Ter�esd�w'w4��ec.ne�euwaw..usr..�ea�eeyu�.�wua z� �O lM[�aJI ❑IfltlMp4KFA O�M�sloaw�m�✓We��F4eG�4aan0�f�w.6Rw�f► NO�Oh<Wtl�dY ' i� y � e�1 Ck S2 .�GOiO'61 Pti a�..�se��Jb�+a+mnnaaaa�nern.na�ra.a�.ad��'re.ewewyw�n.�rm m m1 x� m ve.wmeo-eu�.a —� �.�rr�m�sro v.. o.reoolmuro.r.�n ,` � m a June 28 2005 `� =0 s wonasa�ro¢M�o � wscaournmwx��rR.Fr.a ' o � Richard D. Hickmd , Gibson Co. Coroncr 425 N. ain St., Princelnn, IN S7G70 \ v o - u tc nau ubc. 0.r. r�1 e. yc vw.TMa..rueso+.nrc r � '�7.o7Ci7.'�J Z —,.��,-� G. /� �l" _�'t/ t�,�u A ��� m x a�no�oun� w wno�w+r w reE6 � w.matwown s.a ccsciecrww.um.omAoru �y� 4b�1M��1 HAIftT IYws.V � SI Nvi ❑ Au^0 ��O � Q 4ean� i.YSs N. M6 6�Jll1Y—u �vn M1m sr 1��. d4� ]w �OUiW m'r wa Mi�GV o P.� Ibu Mwe�. Cn e ie.w Susl ��y�, O Si.-s Q Ce+e.0 r >�rY ��SACM \\ � w..M O�nr.d '.y,"��i��; roD�rEntln0u4FDOflntwwbsr..f HnuOrMVUK�E�CC�OBi�rtvnsrol �r�o+�ha....�o�.ar.�R.c �'�"�`-`�= June 13, 2005 No .a<- • �� .c�i ';;d�,U ��J I . _._.. ._. _.... _._.__... _ . . . . . ,__.. ':y''��min IE'e1.TCOC11 OR LNASFO'- NfIT�VA111111N1 FCC'CGi1TCIC11'11V.NFCITN OFPABTMEN�r-