Death Certificate - Kolb, Joseph Howard_7/7/2005....__ __._ .... _ _. � _
_.� — – - - -- -- -- -- �ama ,. . .. ,. ,. ,.
ATE 7T� Soti� Scrliv � e —
ttu �'ata p h mdw m
,,„,�,d,,,�°"�;�,,. b INDIANA STATE DEPARTMENT OF HEAL
� eo ro V^^o!Y b �ad.
�_�-: Local No...C��.:.'.af'.lJS........... CERTIFICATE OF DEATH state No . ............................
- „E r�cams a nas sEwES � cwsoEe+,iu ven �c,s.n�,.,o
'RIi`iT � a��� O�a IYw W ] SQ 1 iLf 0! W M
Joseph HoHard liolb Dlale 05:40 AD1
' O N O-1 L��� bYry L Mm1 i vtM1 Sc VObi � N� � G.iF W YRM I�Y W' Y� y I
� � n 2 �EHT . •
� /`. � � m
m � . �. �..� ucmwr
`� -� O � Z • US NTWM�
i z ^ ' UA
� �
� w r�cuirwuEUe..
r �=�7 RR36na>IB
n
�., � G� O �a .wru RanA • .
l5+ !M
' � O O Flaried
�.�,.
75
.c..�.ciso..m
US �I�4DlOK6
w r...�.. w.na+�
i �. A.�nv..c soause
l � = -�i T �r 4sov¢t-s.�rz � ia �n
� � m �� � Gibson
� i�'�. °(1 n. m wo[ �a wso[ Cm u<n �. mm�
� '� ,� � � & r�e ❑ rw .v.w�iC
vl =�� 7670 ��a a:. r.wn U.S.A.
N c� '� p .y� r..
� m y u r•neRa rwe wa ue�a �.e
� A � J. Leotis I:olb
co > l O
� � �1 y WMYXiSM��E1l�wMA
> s � m �� Debonh I:olb
r Try }i.�EiW00�G3PC9i�W ❑Ese.�.
ox
c) > m a.r ❑ o..sc. ❑ iwti n� sm
� �0 ❑ o.�.. ❑ o.� �s..ry�
<~
C � ION v ewu[w5ru�c
,�- N John R' �Velis
rosar.� u �.e.
"^�' Norem6er 26, 19:9
L Or a�iM rr o� .�
18,2005
�Cl <fF wa.4� � I�q
n Caunro, Indiana
oneA ❑ N.w x... � ow. tse�M
k an ra.w wiounwoFOUn�
Princelnn
is occmwnuwuecur.iw.�u..a.....
e..w�v«smvw m.au.�...a
Farmer
ik arv.roww.a�ouna. ix srnnuonue
Yrin<eron R R 3 Box 516
�S WASOGCFORiCI+'9�NCOnLM 1� NU-Wrtwb��
)Q w �.� a ra w..ry C�s.+ 6.cr. �.�
ra /v�.V.� c� 6srl��
�m ioo a wv
.�pfICU�NfO
�f. ������9�
N'hitc I1 �
�r wr�nz w[ v.� w. ��r, s,.r
plerg]r¢[ $[Cw�rt
I�h Y�IML �'PY�S$!5/rl N N�l� V 1V�' M1� MnYI/.lIY> (e�l $� 11 CMYi 1Q IYVJMC
R R 3 Bos SIB, Princeton, I\ 37670 ����<<
��> o.rz uo ouee d oanosnar� uw w..+.... e..e.. o ��� iac.na-e..> r.... s..
..�..,.�� Jun?3,?OOi patolal\
Decker Cemctcry
T]a UE�uEtSUCE+6f W I] M�SOCI�tnRPO�ifD:OC�f�!'
FDO1009940 � "° � "'
m❑ x wac.micst ua u[uaE.4.ee* a rua�+NO.[
<n n tw so.� oa i oaccron �� w���^^°�"
N m 1 c� Coh�iu Funenl Hamq Ine FH&3005671
� Z, �' n�' FD01009950 ;?5 North �Iain Strat, Prioceton, 1� Si670-
� �� "l
J QC YOUrtiv LvHe�w^Nwvm�V�MUMFMMwnw�MV��v�`��[nuuw�[d�MV> �We���e
S �i �.�w���w����1.w�h���.�w��ti ���
° �� ��SP(f�'�-(U�tl ��ILuRL-'
..a.R���.. G���r�� �
a � Z ,�..� ,� F-t%�t GN� G�`�5-f'/'`U <—�( V� �l�U !-1�'� oNrS�' (J S
o . ._,.a....,, �
0 oz cd,�,,,,......aa� i,..�����.y.�,..x�.R,.uo., .�(5��-/�>L=s
'i -Tii (m1 «....e.�.... �
� � � �a N ve.Yro 0.E IO tU l5 � CONYpUUft (Y1
� .�
,n � O a
� Z cni
n �-1 V��: o Cnr y�un �.Caam�� s^v'Oe 0�e 0.� �v d��u�l }1 wl5 CEGEDfFI :b N.15 W YR'�i� i!+ wE44RW6� ifDffS
n� 1 I
� o^ �i � C.S y1'lI� ��t E GS3"'i- �{.h1 lA�� N5'wVUPN p 6��5 .u.a.rn+ "��o.a`.,s
-� �v.. . w a ou.:.n �.... a
Z � ( Ci (u7E, .a .o
(/1 T �Yl
{ r T E I� C' �O
N r'm onM�NFtiZWTUtiMiaNtvtl�lYS�
� xa.a!1nru� mwmv.corrvvCw ie«e..a-r�-�4a.w:
Z � 0 IG,t� M'Y ❑ IEIAiM �I{IilP 01 N I�Y d ow'�tn NIO �mlp�1� ^ i^f 9^�� C!� o�'v�tl � N V�. Yu W Ttt W O� b h[�n/�1 � OG
T
� 1� � ❑COPMR OnWW�Y�uweN/d^�+�Vb+'^T�ce��enO�Pxv��a�Nwea�wl4��.wlunf�tarl�lv�/�w�u�i
� \
n A' 6 Aa S0�1iUKYOfRIIO�CA•�M �PI ]t �OCJ.�LL�rv3lw0 iw WRS�Im�
� ,����{�t �, " O O�IG2EG � 1n�
�rN
OZ AN�fYC.�JM550iRIl50MWMOCWlE:9UllSC'YN.�!"+OiluMlltM/P.�n .
m n Ramesh Patel ?iD 105 \. ?nd A��e, Printtmn, 1� 4i6i0- _
�Z]I �E�lMOi%�CFfl59OURM �4r l �} i:�IFiIIDGk
� ;�r � G. �,u� f�1{�j' G�; x� t
-i ti
\3K
j qmx )l �u..v.rAO�oe�:N N. o.rz0�ta.lw ]a m(a a.a wl:ar.rw'�M• I suoESG�a[nowru.wroCCV�
�.fYy iu.wo-..�r �.a.av ir..v.a
� 7
> � S rw� ❑ o.e'a
�' O.«.. "sm^
1M IU�E�AIA�-YY+� �I� PMIRW' Y M(�
\�` Q Scb ❑�i�� M M >rY4 Yt 15tK/yl
\ 0.���
` ❑ �wcm
� �
v ]�OOIR�TOIf.CIDOE�(�b+.Lrv�� JuYGt�YK+C:FI�C_D0.:�tV��rW �rNw�Y
�\
s.�
SOH06L04 Sta:e Fortn 10710 (R5J1-99)
�e �a�ra.i es•.. w r�neo. ivr m r..e.. e.r . r.•� se.i
JUL 0 7 2005
c
�a� ���
`,�� Zo GIB$ON COUNTY AUDITOR
r:m� u I f