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Death Certificate - Keeneth, Terry_5/10/2011' AT7ENTION ESTATE: Ois<losure ot the SSa.we neeE ;o paiiue our rssponsiGilitlas is'valuniiry and there wiflbe no oenalci tor refusat� ���0.:�7 �aoy. THE FECOi m INDIANA STATE DEPARTMENT OF HEALTH CERTIFICATE OF DEATH State No ........................... CONF��E1fR:! PER IC 164. :9�1 � O (n O-1 il :.:c<v.��. n:u� .r-�r, �,x.�ui D -�m=i .a v v; _ ^erry Keeneth � 3� �T +. *SOCi%J. SECUfiiTY NllfAdER s, �ce ��a�. � a�a+�.er+i i�,,:. x u. 9��'< n r o m Z; 57, `• � r�° `�"�` '� Z m i e. w+scE�aa. ... z wts _�t^-e ���i�.� IJS.4EicJY. VS.PLE[FCfCEa F yliAt e 1�� - v y3 y: 2�`O N�A ❑ Eww�a� I 2 N n_ xi r.cam rr.rs� -.�u rwnv:•1.vi. fr.^ i✓:+e: ana.w:..x�1 _. + ?�j N�' Rn#1, Eox 134H -'""+` mZ< �r O G :�. �1':�S:::l+ IL SJR'dNAOSNVS_ iL- OE � -i T . t��t.s.il G+Ry+em+fnrvm•/ � - Q� ti T� � N.nrr_�d . ITCai Keereth _�.:i;- Sal� Q 0 m j}1 : .Y. i_k;p:�.a:l.^� ib f.O1XlY '< C.iV. i'.�1Y1l,4 LCv��YFI Trt'�" ?ndiana Gibson �Haubstadt � pnm� � O :x.:n-:.� . uvss an u� - �, a.:�c' s�v<sce�� a r�:�ux� �;Ei ::M'c��6.��t Male �9:00 AM s u:e�r.ar-YUa.on.�+J �n March 7.1997 �:_��� SI aese�rc OA. e OF JEAiHYaM Ja�t ril ily 29, 200� 'N�l.:£(Q: at5hre tifvy� ec�ill �tiac inois �.nsl ro�� �tibstact Gibso� IL^sI:ILO�CA�ikYll'vm`liCYe'A IA..ICti9�l'iE�$?CV�i�I wu�/wu9� �+���e+1 L� TC FOCCi t1.5:F:;:.l'Ct0.��bc� . RRkl, Box 134B I� 4G-�+mon4�' :] ^CE[J�^5_JL.YN (11 {A T • ❑ �1p :� T �•+�•eOV.`I. @ M. ❑ c �.V nC fmYrG4n 9lx-a.Y.Ne.UC. ISaMId'hMVY ' S N G. Ci . tY �rlTt'l'J 4i��LL'.) tx�~� EIM.�J+�!'�' 1} 31 (:.� f �m J t+v�.G1+F.iM> . . z�rr, 4'J639- .S,HO�� m: � US:, - White '_2 Sr C: � p p� :t Fa:FF:3nv:e c�..n�.n - - �v uc�4x9 ruua (Fnu. xedq uxr.xr. S.:m xl m� � � Glen Keet.eth- aune (eorte�) xeenecr. � .��c; . t_ � . � mJ J' .5.us��ws:rs.:�:.ue r,�osn+n �.�war.cr�m,aESSfm.r.,vmvm>c,.aaa+.r'.�m,.cn�:e+.i:u..:m.ax: z aya:iczs.s �= T ?o�i KeQn=t: RR#1,� Bcx��i3CB Haubstzdt, IN 37639 G Wife �%D. �V, :ta.Y'_i�.�^f.C��:l'+iO.G.-'i.V I7E•eeR'mrc n O+iEfMLOIa�cQ']LSGC:+.'1NJI.�malm'^� �.oertvM.v c.t:C��K%�.:�vo:.�wn.:tYt — � ' W M1tu•1 <�: �i,,,,y Ero-,�,,,m ❑a�o.:..,,a�« July 31, 2004 C=€ zvi ❑�^ . 0��.�n Tri-State��egio: .T�; Z.�a 1PiL•'£AS�LWE iv.E48%�tIER'Sll_1�EAC�. wm�v - �. _. . � Z; Scott Te^.hu.�be.-g FD2020007i �1- �.SY�W.i11GECFF'>Fl4'tpG'cC:OR .aG{Kc:i£1_JW in >p_ � r n t fa:ictnseel O -�r � z � . ��' .(��.ICC<_ � �FD010103� >ry �Evansville, Indizna VJS OE.(IF SER:�'J iJ i:W.YFi: LNa ❑�• iieaei hoith Chapel FH83001510 63U0 F3rst Avx.,Evansvi13e,2N S77iG O - y O _ =s. P'. .� Ffae�. . .. �mm+sn_ � n .jelif�'bl'tiNIb6T9/.M6'tTS'Y'���_^OI' RbP1CRfiS�N�NfuA�sJr6 dRµ�l�P} ii SN. n .a.�<niaa.e_�awnexvvxe ec�.v. . . . !�rrn�eesa: n SO� j� �}-.� (/� �_ i� / %����1� aw�oex A n Z: uvEtt:r o:u^� �.y � Il"/�'1�.4 w�l �L l G � �% 0"�C�y �' .�—� '_ Q O S� " ..�...v.,_..w.�� e�e._c..a '- � � ,� � � r�eTa^�ua+:) m n�; c�.n...n.�.:,=�:.w ueroiw>s�cauene�ceosr. N � O � �a.��e�...��r�.�.s. OS12' �nm"'a'T'� `� .vr:nov:3.cnr..aas�:r:s�� n ��` NS'. � mm y_ y0. �cv:e anLeas---rnm,uca-ra�e��m!.s!w(,�ai.•�w.mc�c�mw(.mM1:•-.�.}�a�.n�� C T T- CMQS� �IL*n+�t Yl1=G�ii.O- � FJ�'✓� d T �'' A.� f%SGl�G) o' n- "� �. 'S]a 'FiIL=£R TI i �/'��y rjyrj � �.v+.iF�Y1GMV. .� _ � � L� tir�n. o�FCEa a ! ���. n; ' — ,; 2iG'S�w:UFE:SC:IIIfCc%.ii�'/ � � : ���/�%/��t!1-J°_� `� _ J' x.-rE:.v�a�'£a�sv.ss;.�t•+roccuciE:[ac_ic_.:s,^,=•rhJ'EUm.-r.�+*.9 L �, Dr. David Cottom i3'_2.,P: _ ! :t lQA6-^Fi,CE� SICKR'nE . , �cu G. � v vu_�+oae�c:- va., reoruv�?Y xe. n�_ i �NaS.I Sry.'+a'I 4L4FY 1:�30ELEOEM :ba N'LVi11nLiOPS� cRE4\WT.M3."'r'vS F�:iC.YECt vosTmiutn (Y.s��x/ ;�u��i 'vc ^!c I2R �Yip_-L_I_'cM.'.EHO 2 z y�s7 .ior.ai Blvd, Evansv':1L �vi:vrar+ Iv:.�seveEr.:euu�re �nv=_:u��,rruucs <�.11�`_:P.:Jt (O COMPLETION OF :FUSE �.�.-r: r,e��,�� VO ,�/, :����, .�s, jd O W i' fAEClhm:a :al. ✓e.vl ❑ �� ,.... ❑ Pn,:n; � � ' � .,..,�-.:- . ']+c�e- �.e F_eE�caxcv-u-.ame./am.nVeetfa�ss..c9ice ui i<u:aiiw.ve..�.�i,�a.oa..r:o-�erz.•ee.u;ura.e �.se! ❑ ;�a.< G ca� w.< :,,t:.,rc. ec �., „ ❑:�r.�r on .�,..< y9.J:ieGPbJii,p'D'SJ�C:L.�LtP�RYe.q Yn::GiCR:E.rUE:ttILEM'4Y<svbUlttiet[ow-/v-.av.svfun-�.n�i_i✓tH[ sCne.a.W cca;E •'o`sl 1G!'.Q (F.d:,-33) .._at'._e,:P� _ r