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Death Certificate - Heacock, Cleatis_7/23/2007
IS AN OFFICIACCOPY'OF(RECORD OFDEATH �OHIGINAC:COPY.`ON;FILE�`AT;INOIANA STATEiDEPARTMENT,OF�HEALTH,�; .� - r�.e. ,_ ,. ...R • e '- �. +ow��zrv:r.duxre��.�une�or��ww.9w��i. INDIANA STATE DEPARTMENT OF HEALTH ,- 4 Lecal No......>>r/,o'2.0.0� CERTIFICATE OF DEATH State No ........................... � ii�cSE=C�O5wlJ55Efir5�F,ccQr:FJEN�.iP'cniC:631-::0 �.xcweo.iw.�c n.v.esxi.�w� � D y�r-„ ~ � Cleatis Heacock m � D(n r< 4 S��AI EEGUaRV hUK.e�9 !a. /.GE.lanlmvl �sa. U:OEN t YUn ! �vo�.i � Q; j � rsa4mon e. vurt�srsE�:eca D`2 z m n-s.v_rzur:; vs uan�owxcer "'�= J� � Yes Unknow ��4� ❑ E,� �i = � ( w. r+twr!ewae ram�sm+nrn.a.�w.m.u.m.n m �!+ �' O Good Sa•naritan Nursin Home O�y�I (11 Z( �] L•Mliµ S:ANS f. gWyrypy5M45E it Nr O Q� h�Y� N• ��M G� �bn m�rl M O-1 -� T' ilidowed � � H QT,�� ae. n[aes�:e.alr�e :l•. CpF1:Y i1. G1T.::YN1pplCGtl ~� � �, .Indiana Gibson Oakland Cit rmnt n � I +x nrm:c u• rniccrrrws :. ssx �.. mmoroe+TM Female 12�:40 AM uocrt � m,r e. are or mm+ �m, ay, n.� � .w« Anril 28,1909 �' a.uearo=.x�. rc�..c. wvs..nv c�n Q��,.acr.m.. [ + G cu ❑ n.oarc. nc- cn. rws:. w_cunw cr oen:rm Oakland Citv �ELQ'QTSVSWLCLQID�:1@i (Gne:A>w.n N`>b/e9M` d�O�aqb. �.b/IIVA .w1/ memaker I � :)f STEEfMYJ:.'.t.�E? (f� . .. . t�.L1:C0.0r StVA9pE:ECERCCY.J4L^CWGpI+ ..�mi Z=� � ❑ No 5e res v.+,.: m�«�n•, j� Wa ❑ res u,.+.+a�e,Y � N N� 1 �. IJ� IXIA FM4fi :bic�M1 O�w�bR<R �c.) ��°>.� 9i660 ^ra ❑rn USA 2 A rti I• u. s.� wuE ,F.c e.m.. �.,v _m'c��{ John Will�iaxrs j m� o :�. woFw;rsruax�rr�a^�+a � vu : . � � Charlotte�Richeson Oak1 �+ = � .,. knc:, cs wsycvnoo - (:i • \ ❑Etumac a:GM:E410M V: ame�x.�ni . �� �Oa...:� ❑n.mwnaQ.,s,�. �y Zg� c' OOrar GGpe15`�"" Mont ome Z ,j • ' �b EL a. o.re or oenTM �w�cv ca.. r..� May 26, 2007 ;. e�n�+c<ic.�,vsar.mw.4cn,..�n� Gibson CounLy lntllana a�,i �. rsa��r w m.zcv�srs.:�. Gibson :� .YCCGPll5V6�CY1�mv�' te.a/CE—t..cane+ea.1 �:.OECEOP.'SEJUC<:qn EX�.\'.M�.ec. fSx(�a �p�`oG'�'�ms I�w�v/i EKi11�f5eeORYI (6111 1 White g wE ir.aumw.wta„svca:.+s� Duncan Willi�i F,eainve.iar.sw;eM1c'an5m.:oevel 21k. Re!rxnWc �. City, IN 47660- wsxs�w �ua.v nc�.w�. o.m.�r. a 2007 r V . . 9HX.FSIN.I' :ID. kl�CLL18RS:CFxiM mm' ym Jer _ ee Hachaxn Fp0 1016589� NZ� aa,&G:+.- cKFtE44D:icC:CP :�l.11_'B:SftilS m. D r mts...:..1 � �m� �o°� £DO 101E i � -. � rm ❑ ves Z5. tK�E. �P:RE°3. NO UCFI6E H+/9FA OF MffN11�]NE Laeb-Sasham Me[aor_al CTapel TB3�05?12 226 E. Hashlnctcn . 2 z � ............ ..v.er�..m.,.�...ev�=.a. a;mF..�nxax�..wm..m.aa�>rt�.ar Am�xm, ' ' x � iQ aIM.Ca..4rcY.laL�.11Ya�ilfWU�_'wm�adiiM1// ) lIWalPrt�e�: m � S O I .�..drz,:h�sc6� a/yG!!t-t,� � Ilti/ .�.1.< `�jnc;,.:., � mz� 1e4..,, °y,.� d:E.O�OM11s�CVn^..E�vFMEOFI �.� A O Ort � T�c� cmeu...�,e+v..nuw.. zaicron4..cro+�aiw;ectl. n O �, mecova�.ee.n.�. � � C �sA.�.w-c �'� r �e� u 0.'E:ctdf+E/.COrEE0.Q'{ECi[ o gz d � � o �� v.F)r.,«M..��,�,zcw�a.o�/)���++ wx,x�oca�,x�.,�,..wy�„n„P.:i -Zi fv/1 � i J'/Glr`<�ll.//t- u %f� � mr , y D n r� O Z � � na cEar'-x :l. nA5C2£C� .a. Nh5 V1/y:OG'�Y 1Y. WEiE�CAS! iL'{N:�S CNEi��'Vqy�;�TS p[V'vP��% I,YRIVELEFiqRiO °�flMW+ �Y�,>1y C�CMPtFf:OAOFGAUSE nmczl . P�um�cl � ir�_ C =y� ���pa�y .r1'CF�:IF.'PGMT9CtW :cMCeaeqUw'.r-ie.?�GCCemeaM4.ae.aveC+'a.ee!+ebCe<w�M�lnu�w. a r.. m; G Yui;,.os��n ae.m,�.m.a:,ra..-:<..+..,e�-.a...,�.a...., �r�.,.a.P.�.�..,ro..�......,.,,.....,..;.:........ m Z cozo.aa a�wc,r.a.m.mn,nuev+myx��..a m G) nu �lCi :4:�'RE4'ATLOF E4./� /� -i p . (�fj� �Jf Z. Y l�tMfN.Va^ ESSOfV[RSCNY/�.000.1Y.E:FDWSEKOEA.l�rtf[L:>) ���;..a..� Terry Gehlhavsen DA-. y c H b4 Wes Oakland�Cit-; 7660 � �' a�. �ca�TMOVrke � .eurwE � . m� � ��> .w.cnuwm ]..�a,�EOraunr >.o :reEO: � 1.•-Wttbl.t✓] t�iTi Zi O . Nr..tal ❑ P�Mq h�YyllYa� � �� •ee. eExj.� i 77U . ewarrtv,ortx� Ne. o[s �r..o2i r•v<C C! wJnv — �� �qrpe, flrtll, CGli OG.Yr, 0.S! t+o sa. o.re m+e�n r�u.e. cn. r..n .�' � J—.�J 7 , �w� �Ci[]If'.lEe d''�Y9.!'S I$[ac?il I Q �Pi1`e a1m�C ( 3k.'+'EV5trAt10ELLEFC We_�Cn.��nr: Jw�'CCV-n:aE.�C:=�.. (�'��xem e�.i�'ti+Ymn«.d:xm..msav-c. I��' �. . �._._ �__ .�.. . �.. �,.No �, �� . � _ A °+^a �•ar� - $ =� . } NRA-20 '�� (�105) rz wrer�ien�waoa��,r.m ,....�-..�..a..-�. ,_ __+,._... :. - .. ...e., V,OID IF ALTERED OR!ERASED,;NOL�VACI�iUNCESS CERTIFIED BY HEALTH DEPAHTMENT -; �