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Death Certificate - McGillem, Donald T_4/8/2004'RINT � D. � m = VENT m ;>�";INK VAN ��03Z U i;� ��p J =_�r I f -� �yn m �� rN� � mZ'� �00 � ' � � OO�, �ml; � n '" 1 ya? y G j t_;. pm� ZAn; VI y�Q: T CD—" �T > �<� � ;�D>, O — I Oi I om Z; ON ma" (nn- �n m N Z 2 m -� m >� � m^' O O ?Z r -1 O T = N m �p: p . m2 � � 0 l TO � p0 0 y �O Z AZ n �� N T 0 nn, O y y0 K m-�i, N �O' rm D �O � � � C =T � = rt; m _� 0 i Z o� >� pZ -i -� I� K 1Zm '� i+ 1 _Y � .;� _ "� ATE: TTe Saral. . . .._.. � � -.._.._,: . ..:: �. .r- -.- �._' - ' ..:,�,s-�.. � rs..".'� £c,'i�',�--`x'_xi.4i ,"re oaw'o- n°"`X�"w0.�INDIANA STATE DEPARTMENT O�LTH �• ' �Aeenonnuyro;re'�w ___,/: . � i �'� .:aZ.QD...Y .............. CERTIFICATE OF DEATH State No. .i:.:::...._.E,.:�.......... n� aecoans w�ws s�s u� corrmEr:nu PFx w:sst-�-�o � `� � oECUUD--.�.� wa.m i..i z m �. nEOroun� a utFarc4tHe�o..i Douald T. NcCillcm Malc 10:30 Mf �larch 3Q :006 a•sauterNMninweu a•a-awbaar 'wumiru� xwotAio�r �wnaewmu�eMrn ur.urt�6uctcOrrsr>fav���H fi5�tl """' °'n "°'• "'°' April 2, 1938 I Princeton; Indiana n ves � w r�n:nwrEU.v.sav�o..n.,rww,.e,q 90? R'. Broade'a)• �C uY�i4 Si�ryy ��. yl/�Ny1( �[ 17am'�i�d Judv C oo mer � �a i+[smo�sr•re ia courn IN Cibsm ��. zIDCOx �> ..soeurvu.en u a�or C •� A r.. �rcowi �i6%U �o30+�mwn U.$.A. Is.iAriExSVUCV.ruartra _,_ .__. On•ille Mr_Gillem E1 VIfMYMTSIJ�E(T�p/A�d Jutly McCillem x�. �nMOa�o9�ovMn ❑ 6m... � e�..i C u..� ❑ �w rn. ss. 7 oe� G cw ��n, `� E�Y�ulRS tu�E �'avid M1I Corn � M vurti E�,: ...a w ��Ep�rtfi.uYPw er� a uitl�� .�re � a.�J Crrr.� � w.. rr p.� �r m s....e4 or .e.q w v+.y.r �� WM Me.e.. O w�.aw.. ❑ m�.�sn.d.� �._ . 4 Piv.tNw MtDUnON Princemn �L.OECmB�lS�tl OCCWaiqNlGn �+ow ae�..�.. c.otnirv or ori.tr Manufacmring w � �YCRi.iOWNdILOUiRk1 �HSRg1YOMlug(q Princeton 902 �V. Droadway �aw�botcIDO:to�+4��wCPxr�r is�CE—�..v�xe... mw .7 ... n m w..�r ca.. b.a �w. wa n�.ws..�i a..�+r, i).O�BliSO�(Ji�OM �' o+r av� v� m�weo ��waa,�mia �aan.os.� � 'N"�rtf. � 12 I _-'. ___-_ _._- :_rc .JLWiMFRSNMiffra+tll�LY�n" w�Y._.. _ .. __ _____....- Louise Brandmeir ]00 u4NG �OD�ESS ISrrw Nwa� s M Me�lM�. U� s!e� 9a 1� <aei 20c M1Ywo Y02 �V. 8rvadway, Princeton, LY 47670 �i'ife I7�eo.�rtuorti.Ctao�6v*nNw.w✓ue�.�n�+m'r.> :�c�ouilW--Caare..s�. e.�.a.m Apr3,200� Columhia R'hite Chureh Cemererv Printttoo 1\ xa weuaust+cs�w :i w�sarrtwanonrrnra<aur4m FD01005271� +i1 r.e � �« z.e ice.smae[n x w�rt.mrc�unucn6cruaeaoFarouina[ " Colvin Funeral Home, Inc FH83005671 �. FD01012433 ;?5 Nort6 illtin Stree[, Princeron, 4\ 47670- w�. a.wlPe.e .v � w+ we� r ur o �.v�m.� �a w L�T ��/ c�^C. /.'A'YL'!/SvSwvC .�.i.T.y Lf•�✓+2.C�1 o�z ro �on u � n nr rn vvi.s � r.n.Ypsrs m e oic ro �on �s. cwsEO�e.cc m a 4ses� ��N �� 2�� �un v M F+e+�vmw . U�re� �wwy a ra e� u aws'F e�� w hn � 11 w�5 Of�+T :h w/S ul Y1i0�51 IDO ��HE 4ROV5� ��GS t�. ce�rsrn iG�.+s r.i � RFDUUi p �p p.��5 V9FOwm1 �valFYf IMJ�1 TD WSn�mW� (Y�sA COWETKMOICYJSF rv. r�.r a ounnnr r�r \o �o \o �canw.Gw�+SCw+ r.nmen�aWO.e.sm..,wav.w.rro�e.wr.v.oi.wro.n �iaetTMOmcm a.e.e.�eow.sn�as+.•amw�nm�aa.nem.na.w.u,.aawow.re.m�.rw��me _ ❑LWOIQ 0.w�Ytlu�ae�rWS+wiPm'�nwasv.e�Macanw�C�awee�Vps�.ws�nwurl�Iw��usa as� a.mrx uco.a w .� o.rz sn�...... o-r. .�+ :t,:G( ✓�� r'z �d Oro 3�'!s zo y-a' -ctf z w�[uD�00�E550�R45M�OCOR£:suu5F�0unotFw]m�iF.,w.e 6dward Foz DiD 3801 Bellemnd .4va Suite I10, Evansvillq IN Si713- v �cxm mcus sw+ns[ �S . "" "' / ... _ 0.�. v�f WMtTOOGiH w o.rta...w. JY ��EO� Y[ D1AMY�IWORtt ]MC(fiClRtnPVIXNF�IX�UNEO �wriLA...f KM� tres�.e� � p�il ❑ M1V9 ❑ �[ta� � ❑s.s. ❑e...awa �••w�ry.�eSe�rM—uti.�.�..m..e.a«r.w�. H�x+ra+�s....swsvw.nw...w.e..vr.i«+m.� �w ❑ w.:er ID�ifV11pNOWCmCLGtabwbv.��f']oM0i0RVEwCtL�CCOdi+IVnd�.Y ��wu�hawv.p��P.erv�nc o-.+>;,. SDHOfi-00� Stak Form 10110 (RL1-99) _', � _ VOID IF ALTEHm OR EflASED - N0T VALID UNLESS CERTIFlEO BY HEALTH OEPAflTMENT `