Loading...
Death Certificate - Lafferty, Grant Jackson_6/15/1992L TYVS oR eeirrr ; NA STATE BOAftD OF'HEALTH PLAINLY WITH ; �� INDIA Slule UNFAUING INK i ' DO MEDICAL CERTIFICATE OF 1)EATH N�,. ......�......._ . .................. .... ; ! I.ocal No . .......... .......................... , �. Tf115 IS A 47 i ` ��.., .,��� ..n ' su our m ur.���..o.,. o., .�... Yp( OfCfA91U-N1M! . PERMANENT r0.�f �" ���, CrRApT JACKSON LAFFERTY _ x IDa10 � July jl� i983 m�: .E,...��.. '--- ...., H F:CORD J�D : ix�t e�c[-.��..... •.. �^•"'" •°E-�^' •"""• u�oEn i ru� x uxow � o�r o�n o� sw�H �.. o cou�rv or ou+� ..m...m n,.i �a. o... w.� w,. a�Y 1��' 1911 r. i�1'g0 Q : ron . � ...u� �+s�nvc.�o�s �— �it.9 e., 7 w I w. .ns, o. �.s� �... i+lowfor9t�trOfliveUee �7 : st[ - wown�to�mMU��6nNno�-+.-n+-••+•.�•^•••••••,••+•^ �••�•• -n^• 47 ' ��wonoo. cm, wwH oe �oc�no� o� ou*� Inpalent • � ' TEIZ'9 H6Y� Dl11021 H08jISt.91 ra 7 0 �� "' — wes ort[o�w� [vtn iw u s e A w z j{�i[{N�IIITMr�.��V1� CIi11EMO�WMI�COUN111V M�PRIED.NEVFPM111111ED. SUPVINNGS�OU6[A�I^'^�'�^^� ipM(P�O�CfS� DEGEABED ^ •x oo01P'_FO.�_�'DeN�'^nr Ve1101i P• ��� �• ", IIO ]:].11noie IISA l•3arr1 a '': ,. a, n. K e. amo o� eusixESS oe wousia� SOC�AI ��. Phaz�oeu�i�oai��hamlet Co�eriaal Solvente Corp. c _ �.e i u__ USWI IIES�Of MC[ (1ry, IOWN OM lOUiIOM V1 ' wHEeF OttE�5E0 �E91pIMC[-lt�i[ COVMT' �� ��� a�� IIYED.IiD[�!M �� �� }{�ul� - me. 'e', ius �v n.sioi cn. uMns OCCVI�IIlOIM Jn�� IISPf5�0[NCfOH�1�RM� U O � O{.� �� �qSfiNM1„.GrvE �d�' �' )��: PFSID[NCf!(�OPf $iRffl�i�ONIlMOFR' S•��^••�to�e };,� 41 �OMISS�OH, ' ^���} ES ❑ 0� 15� z ,,, 527 F�anoie Ave, VVLLLY _ f,` O Q O IS Dl�:E/�E[D O� $��NISM OESCENiI li �ES $VEC��Y ME%IUN, CVl�N, %IFR1O MiC�M� EiC. 7 'J. [y� e W IbJ �EOO NO� MOINCR�M11pFMN�MF ���t� uqO�i ��\ C j� � i�1NIU-111ME ��n� °�� ���� r� r(ai V�RENiB Mont Farl Lafferty ,,. Maude Alma Jackeon H U 7 V 1° r�uu�a�oon[ss nnno..�o.o n�.o.�mn �•n �• .] W .] ix�o�u.Hr_�.r[,r.^....i p i 1e. Ve].ms P. Iafferty �ee /Z7 FISIIOSB Ave. Cpurt�Terre Haute, Ind. 47B04.,' BUMILL CItEM��lON.11EMO�K.0�MF11Or�rr CEMFLFNV 011 GEMAiOMY_NMFMAL MOME lOUlION bM1 o� nrmi � �, ��gl �ro Roselaxn P►emorla 1 Park Vigo Co. Indlana : DISVOBITION I fUNFe�INOMF-..u�•p�ow�u n�nn0•�iow.mrwrow.nn��n O�IE no�m o�r.a � :a, A et 2 1 8 :� DeBaun Baneral Home 1 2 So. Bth St. Terre Haute IN 47802 oer� ur co�w:o-� �ooe o� or.�� :_ � ...»�.... . ....�......,. ,,, � � I��3 „� 9:2o rrs H m � � J � M.D. OR D.O. _..- v ao-w�w�� 1 :� ..�. ao� a �� W O `"o �wa � <� �' _ �.ui�y..� ! W � L� c Di.po�ilion Permit -. =n p �4j `' . IYUed "_ � ,� a' C�U9E 1'rorbion�l F . < 5 .. CerliOule " ' � � � [) Yc+ ❑ No m . Z -> . U F. � ' f.7 4. rn ��.. n,......i n�MEOr�lR o�M rrrntuxnn..��, ��� Jamee W �rietee, M D uu,ixo �noeeee -rwrsicu� " �� 00 Sth Avenue Te re Haute IN 80� MF.\lMOffIC[11-Wx�11M� O�IFPLCEIVFOIU'.{ (�lMf�l{1�(j�{1('/�� PU!:i �; ,��" I.1lN 3 ll�, . . ......��........ ]l. ur vu p�ruowro+�uvvne ��•• I 1 .,,, ,., G� � � ........�.�........ eum.uu.vo.na aa. —//'��� �/1.�. � i�� I C� fl�L�( / �„�..�. �.- ,�..... �. ia w� ro u �.. m+..w��u m I� i t�NT I•I OIM�\p��[� �xpnM��CN�t �u� ' �I'�^�n - • u :. � ni�i o i�ii �pti /orm 96470 ,