Death Certificate - Kolb, John L Jr_3/12/2008riaR-i z-zeee i i: ee �or�
• �r�i�pu �i►re rnp mem aanr�r a
.•� a����a
:.",.. F�:�aWQary m6IIw� W ee ro pereYy6r iK�i.
f,,: .:a;
�..a�:. � nro........ D8/.�7......
neaEmrmaei.rasa�a,
��� � �__.�_ �. w�r+it�
1
� D -yl � S �� a �Oi1ltRial!�i/w
��'>"C ItdK
��c�
m1> �:ve's.x� �w
�o �
�Zm No _
r��`
� _ � � f�0{IIYIOMEUtiWw/�
� �� y IT Glb$pG �sMElB� $OSf11C
� zN� n �av*b' ��.�
�� 2 K R'ieRiEd D
�y00 �a�n� uc
itiN � �b
��R
-i n n �a vome ,r .�anun
m R� o.�.
��z a�666, aa�.w
PuZi-
� m � . it af�a+mene;r►u!_
z�� m J. L�ebtis Kolb
y n
�f C D O�iNT g �IWw19MY[tt»yw�a:
� � p � _ Saudrs Kolb
� J }Y IIEIICOO 'GOOOTOI O 9
MCDONRLD LAW OFFICE TO _ 3861173 P.01
INDIA(dA STATE DEPARTMENT OF HEALTH
CERTiFIC/►TE OF DEATH Smte No . ............ :..............
q� �p1�IpElYIqLRA K MS/��f0
p. . . x�[ t104�OROGTM- A041[P.OYD�er.4.na
dehn L Ko1D ' Mek' �' � 01.30�:�1?� � agai[ 6, 2087
4�a�MA .i �MY .U�YAi4VJ0�F06�MO4D'Iw! ).�RKFWbwISrs%r�P�'N
� � � t`^ '""'.Deeemb�8�i938 Petoka,tndians
nwraenmr v.:. ..� .��
.��io�otsr �.g �ees - a+.� 0....-�w.. Oa.��s�y.
�/A_ O: Oaw . �O
6weww�il .4UN.TOPM.OIt0G11P10�OM!v YCOtMT'OfC4M
11 . . �IDIYtOP ibEOB
•�
.. . .�s}l'a�n,'b*o�wwu
� L it{%M' .. •.
ua �iwasaaFmrsa
�. o:.
- �I�jD4
� � bi� ❑ C1�� ❑ I�wha OY
Oy
❑a.... �a.�
� x t�pv s ewaraax.�c
z �n Mark R Walter
� n ri so+n{4unrauo.ec�c.�� �r� ,,
n� L Q h� �'�. C.J Wc� �
m a�
� �m
2T15E400N
�K IIIQ�4r� �ew
.�..� r
or,+
W Aite
�ionmsi.i�tn,prs.:s s.
I7jjft�Ef S{E'f18it
�a
li.
12 .._.... � 4 .....
�liC�0�36�9Ywiwr�i4►.MM��r.GbsMw9rb.tar tae hwew
�.E�400N:�F6toliiyW 47666 Wite
��p�pppQRqqllY�d�Yya��y.s Te1DGcuM--l�stawfW
Aug9;'2607
emnery
PatokB iPi
�es�mro n waaun�aewreoroeawtm
I30t0 . �"° ❑•°
� imos.ara n �a.wau.oumr.e.waan.a...o.�
`°"`�' CoNia Fwcral Homq loc FH830056�t
�I�� CZS \orM Iltnin Street, PrinceWU.1N 47676-
� �po I�wni urrerranr�rvi4�n+ya�P.e.wa�l.�ra�re�ew�+o.�w.�.w�v
D � ? �+a
T $� YW<SEUIYtO��
r� i 01�P
m 2 O � �.ra�r.o
p mz
o �� c.+..�.�.+..s
T� �n rrrs..su�a
c � o ro«w.�,.�o
m � a .r,.
N°z �z
Om� wR.. m� cru
Z OQ � i� e.'�p!S.
�a.,�
t a ,'�i I�' . �C/j��KM
N
W. p� a � Ifl v�n+
� aeromnas.asaaroce+am
e
l� �
..w
xf M1t O�R
•SW� Q F
oa6�+i?1ae
IIYt s N
� ��
T ~
VR�
waswxr.00c. xsr�cwrasnvte
�vaui�wm
n.�s� cawecvrauee�
tl OGM(Yw v�d
� No
�zD '�� W � �wrn�vAtaa�.rr��.w�.�.n���vwar.m..s.1..�.r.ie.�.wrers.+.�+.�
m ❑fLNi61 QrNrf�a��+Y.wwayR+i:q�me�ww!�s�wss.waas.mrwe��fo�eA.�es�
m T 4) Aa WMM W m�[P
�m�
rm
'� o g x w.f.w.00ESea� .
+°�� � Ramah Pate! MD 10
� Z v �urnoarmacouiux
�ti
R b �WR�O�GUn
� � ��� � ti�
�= o ,� "".r°"
` ❑fss �hrtla
1 7 � ��m ��
� \
ilr 1r r�
- �OMRRCWVL�d:MUbnOwM
= y�sp6-0PI Ste� Fam i0170 (RY1
�,v`. NRA-20
.. ... '' n,oci
w*nara.io�nw�»
�incctoa tN i?67a
' G. J`o",.�
]6 1�C2% . .l! M1LI41
�� tYrriw
^. ..�
r�
l� tOC��C�m'Mw'4
a.ed..e..r�1s
Pb
trllra+is.Ctis:a.n
TOTHL P.01