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Death Certificate - Hasse, John_1/13/2005e ` RTiB1iqN 6TATE ihe S�odal qS � � m�sta+umnq �W: o� ;�.,��0� '211��1MN'Y�IEBi1�plI1911)'I ,:�_ �`Lacal I�b:, ...... l . � .:..p.�.-.�. � '""�` � � "n��coaosu _ i ���—�;;,. 'RINT '� �nc-�`' D, n v y NENT • N i 'r f 1 S oc�i, `• ��i CD� �? y� mm! fnm, , wm; mZ_ n �Ti r :.� :mm`• �.. -t -- -. o o ( p .'..22� T �� � : ��a _ p� - ' -:m�z jF � : pz: � Tn� p`O: m .�• O , r � I z '...gZi n �.. �11 O'"" mx �.,'mm, O y � � � . � ma;- N. �Oi '� . 'pm? Z T.� i 1 ~y! C m=i � m+ .'"�? n I �o' nDC {`pZ . ��� m2� Zm ti Y ! D�� S` � �c^,`-��-AO� ldl•-, ig. �� __' } � _ `f NRA-20 `e _' __.� (5/03) .,`i .�=: = -; f. , , �`m ' INDIANA STATE DERARTMEIVT OF �Jn«•tB' 6 flHIR21. c(- _ - CERTIFICATE OF DEATH t� �ues u� toeuoet+rva rv� �c,att-,.,a s� �.... �,,,o - : sx - Jahn Hasse Nye � s �a-a.. en+r' a umi � rua x uou � wr a a ir�r .. � . o.. � w.. ww� ♦.,� 1'ES wrvluuEU. �an Geoera7 wru st.nrs 1946 �a � � .3'5�:.• r �scaraum 07:05 PM � wn�,W.OU.m - 31, 9925 �TMe�> n� z�, zow �� o a.,.�.,+. a.a.�e nOFOrrn� � fi�CaU+rvOSOE�.tx C.ihmn �i.axvNwcSraR_. -; . �a.oEf�B�BUSULLOCUD.nW�O.�wrwn �moAO%�1' or.o�.m.� • a�.n.ro..cs-ewwo..a..�e.m Bu1lDOrin ?eari Dassett ' � - � Selt�Eoiployed � - B � �a�rsw�cs-Si�rz +acaert� � ��-arv.roxna�ounw.. � �xsr�ruonaeui . - I� Cibson - Princrton� - �. . 115 N..7to Street - �r.LPCOOE �f.�FGI'/WIS �� CTID,O� .. �6 wa50ECE'fENrO�rmarK01p1� taMCE�e�Yw�� , �7.0 '[�iEGUC/id cw A•. r»u,cow �&w o... ur...w.cm.. sa.w...a _ cso.+,°eM�o..a,n..s �- . ika•rNSrt- . 11.S.A. � �:�•ww�'e� 6d�� .nr..iscAa.vm�o fsro.wee.i ' 7670 _ - N'hite 8 � w .❑vw . "�� - . .1�-f�tlef�lNlE{M1t1llYli t.=�'Y I�MOT16ISIY�41FrtVlY1�.1�9��1 Joho �Hasse� 1'� - � � � � - 'Eli�sbeth Landeis T a.w.owr.1nr...E�ryM�+ an_..uwc�miFSSWrrrnaa►swyw.x.s.triara�ssbcea+ �t�rmaws �. Pearf Hasse •� - 1t5Ni7thS[ree4Princeron,IN 47670 Wife }Ia�ETX000f�iqN'�6m�ler� - itlWTEU.00.�tE0FOt�O9tpN4YrdevY.�Y.a S�ctAGt�ON--CbsTe.�4n �lvr 0 C�� � Mw/hm4n '` a0ra� �![ �� 2�� Princeton I�I - ❑m.m��.O.au.�so.�r+'-- I.O.O.F>Prince[an, �N SS-EW1A1913MYE . � � m flMl1EA5YCB8M0 xl wLSOfJ.TnRFPPlEOtOCp�El1' -. Johu K' Wells � T � FD010099,40 �"° �`^ twiWMO�NtNtCKCiOV� A � ]OIYD!$ENl1l01 EN��E�COIESSMOLIGBb�H11l9�QfW6VLlliE . ��r,t�. �.�J ��:�.� ��'�`-. � ]I VMT� (aMa�^Y+susO� ��a �IStli s M b4� W sI� e� � ..@.h��.. . �L?r a�. a me� , ot,' n.a°.r� �i '�°�' CoWin Funenl Home, Ine. FN83005671 FD01009940� '. -� q:s �arth Main Streey Prineeton, IN 47670. .am�eoNCe....se.es.�e.vm> �m� sar . e....ea.w v� dv5rt,�Eti�,�a S;� t����� �� `{' �t �w� V �Gt i �YP �2v� y2aYS e. F .'aqb���9'..1uT OUFTOIQAS�CON9WlR6E0Ff tiowwmaw+ � 1$ChF �C CArA"�mvoDc.-�G�y �.�{"FPv�-YFaY ��!^°O�� qLfOt011/S�CO�4FQUB,GE0�1 ' a�a a rur�oa�.a/v+�abes.�cvwn.sa.eraea.nabww.euWe.enr.nr nw�5arf�u�r a.w.t9/.wurta5r m:ws[�utoos+'fMws wvnwr a m wn oesa�m� �v.wt�waro �:/'�1-on�c l'�bSErwct�'�e ' �.f.,-or,"y �(SP� ; rosr..arw� �r.dw eaanwawcc ty� � ey d OFAIM' I rwa�l GG�ron�c ror.c��t�s. �o no No }MC6R��FA �CEIRfYNf�R1Y5KlY1.TeNY�tlpWMw���Memn�rbl�iMOb.tiY�V��1JYtr� �aea+r ❑ecun�aR�ft11 ae.rsna�.+e�r+a�•4 ^"n��arn�rr.a.vamr.eNnwe.erwrtlror Y�1 . OcavEn ar.ma...�m�m>..svm�...m.e.wo�.�.a•e.s.m.ewc..«ae.m..a�.e...�..er i! itit uo tm[ or CDI�/a �. . m�tnr1� UCw4 w m o.ie rnm� '� . _�: a<F.�,i_��. DL...s,�;a�,, vio3lfrP,Y i/���1 :.�.�.�.���+.,b�� ICri�s6ns Mnrrhp MD 105 N.2nd�Ave_ F n.eEKrh0�s1�85o+�rVE :��i. �r o�` �a namr � w� ��1wr� ❑ e.�e�o �.��aoo� O •rrn.. �„ ❑ Sire� 0 Ca-Y w Y ��� 0� e o�rt a10HOlit� ouD �uvvi cYr. rri �OE6- I Nc vWM'�TWpR� I YLOf5010[KM'�+AA�' wu.+ cuCEM�MFr-uiva��..a�imr.Aie I w pap �tt. tior/N � SOHOCr004 State Fortn 70170 (RSl1-99) YOiOR VLMICIf �CCmfNt! IYw> wl I Yn N�'M. is1� /�M� �[ �. ��1 GR PIFD UUa 6� vrf on<,»,IYn 3 a�oS e 2 VOID IF ALTERED OR ERASED - NOT VALID UNLESS CERTIFIEU B, Y�HEALTH;DEPARTMENT