Loading...
Death Certificate - Masak, Lorraine J_9/22/1986" - I � t �t. i. � � e . .i .':fj' � �� .,.ji i� .�.�� �� - f RFCOItD OF: DE 1TH';° �f' . � . �s t� f( (f�t t� �, . f;�. ` �+.. �).� � �t � VIrIS��T. �;, ,+ i , . { t i . �, � F`. j � } .' ..{i �1• � T :� I= " i� .:_� , ;.:�E , e . t. . � _� .� � ' r TIiIS�IS�TO;CERTIFY�that our`.iecoi� .i-.::ii � ,! �S� . '� n;� r .�s , : ;Dec ��_r ���.•20. �j��.-''1972 , y !i . � .� . � . . . , . .: y i-�i 1! ,.:�i.;',.�s:' 4� �. �. - . � � � � � � ' �• r � ! ii ,,.;: .a.iEh ��1 ' �� .e .. �1 . l i��, .�� tf"' n . y. � t . . s� � ,. 'ti± �' ` . .c�.?t { ,` t��'f� fs"�`"'i ++' / ��^ S i� �f �� I� �� !1 E ,� � ..� i ' j 4'. ,• �� 7 7 OiINTI;:DEPART\IENT.OP.°HEALTII'�.i;.,;..`, i{.. .ii-..' . ; :{ � ..._.,�_._.:t.,,�i;...._:�--_.z.._.�:-.:;;�'.: � t�PRi\CFTO\ INDIA\A r�.il � i,- iJ �t 1. ';;;t:` �:°� t.•::�}:.. �f , _ � � �j.,:{3.,1� ' St !]�� .i� s` t� � ,�� �i ���°� r -_ �� � 1- .i {' i�.i: �� s slio«? Z{4RR4�TNF1J��-iP<�1SA�{ �' i' , " ,I f- E� •'�I i�: '�:i. i ys _,�� .' ti �e E t- �' sd�ed i3 � �t ...�E �..... ;:� .�j..-.;�t t.._,�s i� F� ' t -, t at�_ c� �� , RR's� r princeton, �Ind': 't , t, ' }t;: ,�month � �p tz .:'dayjS;..i:�"t � }}ear��. } ` `=�.hourofi�d�ath ' � i�„ �l.,.� st�eet hos LLal rural.. l, i '�'i .��. �f ' � i�,^ �j 'F� i1 ?i !� !i �1 .- l,.�..i1� t .� �:I� P. ...... L i :t�.•, 9ge at Deatli� Sea { Fetnale�- Coloi '+� ;' !3 iJhi.te f' �' `• ' Irarried'•js E° --,;; �r.. `. �4 � �,,; �}ears� • -,t� i }' . ��! it :�{write�whether marned or smgle � 't� �) - '� �- . !��'`• S �)� f ..:] 1 t. .1. (. �. '...�.�. f �t:' Is i � t �E ' 1 .t - . � •1 t1 �! ti f� . it r�;:.......4t..._..�;:..._!i � �i -..,'S� ._°� .' � . F3... �� (�° �! .�.[� ' ,�: Pi1m.,:� czuse:ofldeath.aiven «ac �� Ar__rh�vty�1 (FIAp_t�y.�l-'-C-onduC�ion-defe� � : . ���1 t .ii i.�� et .'�� �Jf �� . � F t�.., l? � �� - st �• f � ",�' ..s '. i.,. . � � ...i. �� � �;' f.�.' � f . t .f .! f.�. � t..wic ts : -) __ 1 • . , • �: =�. � ;�. .a; :. .�. - ,. ��i.- ,. .,' i; e :-e� { . �4 ;.:='�? »::?i-. t .'• n �_�z �.:_ � � .. ,!• i �. ,� + ,i' `s 3--. E �� ci . . 1 t , = � - S,gned b��' !� .•David �I;indauer;--PTD `�- Princeton.-S�.}:__ .. � ,�•_ � �•,� � :. ��. � 1� - r� ,� j �physician�orcoi�oner{� . -.�� -1 t �� -•'i'..":.'i�l� addre_=sr . j . � _'i' ��� i:.. . '� � � .',: �':S'.: ._ �� �.' _.' � .i !; .... �7 .i� . I � } . t, . �.. .2 � ' . � • ` � S Place of biirial oi iemo�al °�-° Suriset' Nemorial Gardens � -•,.Evansuille Ind. , �+= �',i",::';ii::°. SI ��,...iinameof.cemeten .� ��"..i{:°. t f;;..address�i i. " i: � .7.� ;�." ':ij:=..p . .� . ,�i. ....:��ti .p,:F::. � � .!i.. - i -3t . � ,'lj�.�:[t:.:.f � :;i. . i.� . Date of'Uurial.,' '12/22/92���"��';`Ke �rid'al l_ .Fune a � �o e'i -• �,,. � in eton� ind ` : `. '� :` : '' tt , ( � . ,> ! E�neral;Director �� t, i - , � ,F � � .. a dr`,� TS ,:r !' '�' "' ( ;! , „ f f� 3t ' s �t ,i . -� • �/ . t: � '., t i � f .,� ` �t' , i - ' . • , t . SEr1L., . : r, . � i �� i� -{,S�e�e , �%l% - i r �i , -i � i_ �s� '` ';� : Gibson�County H 11th -� �1 ,i � :4 . .- it� _ . ' ": �.;„ ,_ e. CommissionerF.. .. � :f�• , , � .° ; "�- , _:� ; _ ,, ,. :. �.:.�:�;�•. ' � � � �' �, . .;, r , .,i i ,_, � ,� ' ,:`� ,r Frinceton, Ira •' 1/Z/93' � . +, r � j�� �'..' i"� s � �. jdi?:t�"V {_��.r; .�address _ ' ` ; : ` Date. . .:, �, . e,.. �.' �, E:;� ;ie'...';` � ...1� � s; �'. ,' � �i'.: S _ , ; . +;..:.'t - ., : �.. ..�. ;. � - li" Iq.� ��� . � .. + �: - .. . .. .. . ' - . Recorded locally,iri Uook No '°-1l"=-.� Pa�e no -. 34 - Filed:�2/2�/�? .." e. l. � � °,�.;y�. .,�: . ;t ,. � .� s . . —. , — :j...'�i" !�. �i 3� ��. � -�-� ' If - �7 . S{ . . �. � t 1 _ i }� f i•t� Ei f; 5t` � Z f .i - f �� f 1 • i . � ... ��< 7� ! '^ � �� z} 1� '"�� �� t �� 1- �1 fj '�y.•i7� i� �� � e j�...�. .Il� r� �}_7 t, �.r � .t` �S :�- •� fi- j:�..:�j .t _ ..7� . ,7� � �. 1, "c .i�l �. ! '"iE` t e1- , +� •,. ,; � 1 } '.�_ :��" _ �i' : E�: •;�•,,,.. ii= -1: T+��. ���� =x: "_ : (: -Ij�. ( :(f: 'r �71 'i: .. .: .i�. . �. :. . t � i7 S'1 � . 1� � fi � {( �� 4 � �i , �Ii�� � :•i ..:�'• ,^i5.-,� 1^�'.�t �r }„t -�' � f�„ii �� tiV�� t 1'r'.�� 3a 5 (} ` �4 . It .+,i! �E . _� �i. ��f . 1` '�r _i`....:)� ... {„' ..%-�� .i.,...� �..F- �, - ... � ...'si�...fE: ,'s� - . �—�) . .��.. . , .'If' � ' {' .i