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Death Certificate - Harden, Jack Ellis_8/15/2006. .:���1TIXfqN�6TA7ETTe5aca15wnn .. ..�:.-..> � -..� � - . _.. :...n�. i�r`" �'',�e,��°'�` u INDIANA STATE DEPARTMENT OF HEALTH .�. ; i,.veY�vY cne tlwo vJl W ro p�eaRY tor rtdusal. `' " —^� CERTIFICATE OF DEATH state Na c:.: -:-. �,; Locai No ............. c�.......�.:..... - . rHe neco�s w rxs sa+ies � con�ro�rrrw rea �c +a.r.-i-�o 'RINT �^-�°�`-v n•�•••��' i ss L mEasourw � JacA k:llis t{arAen �lalc 01:13 P�I � O NO-� ��� y�yNENT � �pN:INK � O3Z � O ���x 1 �' > 2 n Gi7 y=yR 1't.� m v� n V/ ±yO mZ< �o� O�m �nci n `" m�� N (�/i 'i NG� n�� - T Ti v+ Dp O m C > � NT � mj:i r � �i± � r. > v �' < � =�ION �' Vl m� v� n vi m x mz - m >� >_ r' n OC O ?Z T -+ O T SN n 1 I � m � F I V �A m � Tn m �a N �O O �Z � N $ � nm 0 y N O i m -� y �� rm ; O� ti ~ H � mm `n m � >m� ry ti � 2 mn C �Z ti� 3 m� ��m � r Q� , � �" NRA.20 " icrm� a bocuttKwrrv�r6� s �a�en � rre 73 4 W�10ftl[YYf Y M41�5i VWFp• �•usrcnwn u2.w�nraan 1'6S 1953 r r�wrvrwiu...��..v��..w..s� fibcnn Genenl Hnspital IpYtlliµSi�ilb IISL�'IVN�SIOy¢ cTadN u.ao..�a.�� �larried Reba Cunditt �r asae+a-st�R �a taa.n� I� GlbSOn in mcooE �a �suanu+n �. aRrrn ::ro A•.. v..�.rcau qe7o �H on •.u.n us.a. �a r�r.m rure v.n uaa � Clecis E. Ha:den }y qM4MfSFIY(:Typ�! Reba Harden �i..tiwpoudvosrcr� ❑[,m�... m!vr ❑ Utien ❑ Ms.� M1s 3s ❑ a.e. G o...:_.�..�.� :L FWIYUSNYI. Joho W Wells Kln l s� tMfl1 � O�� O O�iF 0� Mf1� IW Cq. �q °i^ '"• ""� June 14, 1932 ..e.. 087203 � CFI.Mti(y n� 4. '006 orre� ❑ w� w.. O a.. �y.rM rarv.rwala�tn[.�iqnKO6.tn xtae+rvpiwxF Printtmn Cibwn �h 'J(LTW�iI W m,....v: Pras Opent IY UfF. iPYN (/ILCf,IiIGI Printtron �S w�50[Lmo'�orre�uCd�fi�n ,5�' w O•.. n r.. w..h � .�� w�� wa �i ��� � I �lanufacturing �.�. ia s�twoeuern R R r2 eui 3&t i� n�CE-�wY.��.a�� � m ..w. � ts.�aN o� + a tu,C�:q� �3w�n'aMwO� Vsm�mO niso+��in �coro.u.>s•i i: ia uonaxs w� v wr ��r. s+�..+ -- Flossie Ellis L! WirCi/�0010]IA�ryNm�sMNrnMa�.f+YSle�9al�CaeY ]4lrm�na R R 2? goz 384, Princemn, 1\ 17670 Wife ]IYWR4OIUQClO�qNIIY'�✓ewr�.owp�> itetOC121PL4�sie�yw �.�e Jan7,?006 Coiumbin R'hite Chureh Cemeterv P�nceron IN m[m.uus ums no » w�s arwrr. roomip :o <�uarrm QN FD01009930 9 w � •., � umaSEMtlu }f r�.�cun�c�sun�cpH.as�emnOSa+QUiwo�E `��°"� Colvin Funenl Hom� Ine FH83005671 FD01013010 ,,, a:5 �orth >tain Strcec. Princeton, IY ;7670- aourt� [�.w.r�w.��c.n.v..a�.+.ra.e..�a�.��ee.s��.ra.ss....e.vr �m.�.� ..++�....�..�.. � -...�.�.�.. �.... �� a� ..�.rz�o... , CfirR-i� ��i C �� R�S'� /'n I rV c1 � r v..+m. .--�,...� �S c�"I 7+-,�«�l��' N=AR-P � IS�sJ � YR . � 4.�sv�.n.�ew+ a.<ro�wu.co�owc�o� � w.�� e� ����� � t%.EIO�ORwf�CU6ENBCfM rr r �Mt 0 CY� T�a twe�. fa�r� �s�p�1 e aa W w vwoF s� w M � I) MLS OEfICUi .9� �YIS An /wIS�SY IN N9E 1Ui0I5� NCM3 I-F�� M!G✓�fpiyr] I9epl�fJr �vLLA6F{ATlO J �+J( � i,�, �i �lrn'-� G�. �OSrvu:u� <r�ew� Ca�RliD�a[u�Y `� (Y� v M O� C4iM (i� v ml �\O �� NO trml:iFA mC[Fisvwcwv4c+n 1ew�e.�e.tiW...y..swm..raw..�.rwre.wrewo�l.�rva fO�n sw � � L�IE4iMO�CEP OntiO�OUw�v�Ws^w�W�^MtVa��i��ntl�tiraaYw,f�wse�4N[a�J�m ❑cowrfn a wa .v>�+�ma��+rm.a�e�n:>...a�w.`a�..em..ne..e.a�.iw�.�..s� iw Sv.�Ne u.a n�te v airtw � � .mtr �eax w m o.rz aio � , �-, �'� IOIG�C2E( ,c�S� a1 z w�e uQ �a35 0� oF�6a� hwo Cowr.EC uu5[ o� [UrH orzu ]a �tr.�/� Ramah Paml �1D 105 �. ?nd A��e, Priaceton. 1� 37670. �� rt/aM0'�KL1S SUUI4 Jj � .C.J SC�GL- r. C?ifi_.i � :'?H/ u.WfAOiCUM Y� J�T(O.WW IV In[O� ]4 tt1:11Yttw09[� (lb'I�(dlyl MJ.11� I (�usW �tr� ❑VM� Q Y[s� w^�, r. n.�CC v r.s.nr-u+r I.,. v.. i.m.r. ulc. �� ❑ 5..�e ❑ t'm iv e� aea � cSe�M ❑ �as� 'J���� i o.rz ��r.r�n oun �.a, a. ..., ,. axiae�.ow.wm �GO! ss Yr[ nm iu.w o-. r.n ���Url� �', xC •s nins v N� b� ws. Gr e:e�. h�� wuoru�,s.c�.cwan�r..>,,.� rr����•.�.w�r...w�..c SOHCba6� Stata Fwm 70170 (R511-99)