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Death Certificate - Mounts, Charles Francis_6/10/1985ti .; � � r. tt,�i, �i °.'•3 m _... ._. _ __ __ __. _ _ .�. � 0 OK �?---� . � INDIANA STATE,BOARD OF HEALTH ,�a1 N� . ............q,�'/..,.....' MEDICA�. CEftTiFICAT'E OF UEATH . �— ���� ,` �� s�►� • ' No. ' ............. . .. ....:..... ..... .. .. .. ' � ' wtuuo-raw� ' .. . ' � wnu . . . . im � mM . • .. i a ntMe wo+m w. nr � � � �i"y^ Chailee Francis Mounts �l; Male , May'22, 1985 w , , nm�wa� — �Tru � py� � M[lw��i�+ww� Y �GI-n�rww I1MOfl1 � YfM YNU[111 D D��k d N111 10 �. 'OUMfY M GI�M _ � I .10� Yifil l��.m M •� m.l � � �.i wn wri� i +q f � • � . '".�"'�tiO'y �. . w 6'L �e C r�. e-6 7 19d�� ��.� Vanderbur , �� � p� . �r �asr. a� wi .�.�w. r ' , n�npoa un. �oww or� ia.rax ur a.re ' . �otrn u oe o*Me w�mmmx- � . , � � ,� �,,. r tiw..w.!� . r � � � •, ,. ' 6vansville ' ,< Deaconess.Ho> >Le],�M� � � ,•' In atiant' � "� �Gl�WW1lNwiw..�q• CpIliMUIMNHC01M1�Y. i Y1��IIUbIVlNMMNIf. 6UPNNN(IPW�EIn�rJA��wn�w � �,', I���, MM[DYe[a�c[NM�pu, '�i DFC6A�t0 . . . •••• � � woowco.mwncm�o. n � . . ' � � 'u( � �u.n..Jr .:� � ' �• , � Ii�diand � , U.S.A. ,u'M;�nried �� Evel� n Hose � ' Yes' ,^ . taw � , � � -�� ,,, � Laboref . ' .� �:. '���' � Constructlpn � ' � ' Yd1LL11/NpMG � . . . ��.. . . •. � . oew�unM Indiane Gibson" ���a^� ' � r WWqaCW1o.. �MLWKKI-p�n r� � . fAUen arv.r . �M¢ rouM .� � . . , � , '. . .. . ' ' -�'' � � �, � , �w . �k . Owensvilln � IM�TITON.OM � � . IN401 CRY L�Atl�� � 11[NaI1C�1{IOIq �. . . • . ..�' i... . , .. :. '.. • 1/11ftiOIxC�OM�/.MM r � , . �run u�o wwu. � . . . �ownoa ' �J1B� W. BCUN@1ti1: St. � � ' . � . �� , : : � �_ ann�n�q.w ' . _i89 , . � 'w. .�. .,... . '' � ' �i.' rU❑ �ea� n� ., - uo[ttucoas�umMwurxn oat�ncnr+NUUe cuaw.rucemwcex.nt ,. ^ � ' '��J ��� •:.� � /py �; i 1 "� ., f . . : � . . . ', ,. t ' . ' 1 � i . • � � , � . � � . rn ❑ wo�Q . . � �: ' '.. � } . ' �1�M111-wW� : �w�• � .�rm� . u '� ro1MF11 �MiMYw�w J. ^�n � �ow� '..' 1 ��sr S� ..• i� � . v�aEHU' . Bdgar � Mounts` "n: ` '•`� Eeter �'i,Angle �, . �. � �. i, � �walwuO-�ur[nb..�w, � -�FELATION&IIP. ruuxa�oWOS , ' 'nr1�M. �o . �. . . p a��or� �:��•r ��n�� . �: , IEf .�1,� ,,,livelyn.MOUnts Wifo�' . ,,, , 518,W. Brummitt 1 Uwenevillu �; Ind `47886.� �� I � ��,' � ' . ' � 4111Y4.C11[M1IqN �1N0V4.OlMqywq� C[Y�I[flYOIIqIWtqY �IVMIPA�IqY1 . 101iVpN ' � .CwO�fpMi . °� � . . � � � '' ' Burral • ��Owene'vi1le:Cemetery, ,,,,• i Qwunsyille;�India�a�': �I� �� ��w. . . . . . . . _ . � . � I��L Wi►0617�ON osR.No-�•wnui ' � , .. � vuruu�now-..ruo.owu�'. �� aMna.ro rnn a.nin ' ��r �L �,�...J ' May 24, 1985 ��Holder;s�Funeral Hame;;Inc ;519 S,N¢in"Owensvi4le,In 47665.'' . � ' , m, � . � � . . . ., .. . . . . . :. . . �.u....�n.r:n s.w.r«ww � . ' �. wn�aworra...,r. - 1R��' �.IIU�aD41N i�rl. 'S .. �•a I � r :i.••a�+.+ ' � r '(�✓ � '.g.l �i '� ���� « aa' � "�6i3B' A�y ��w �� . , . � fie. � � wo. w.ww.rrz,m�a.M:tcwin .. �. ' . � r .. � � i w r oo. ' ' Riahard Wepsic M.D.'� . � . � .. . .. �" ;>,��` �; �� '� .� . �. nu . ; _ , . „ - . �' • � , . ,•-� ,s �}� � �� � I� . ., � w.YUraeuwess-r�omcu� , ' . . .. V7110�� If1d:� 477U0 �. •��°'' � ' fi11�,Harri�et Suite 04 -, E�(ap�,,,�, , .�, � o,.� � � � � � ' :.,.. . :� � et M aref .r..r.w .. , . . . . � . . un unmo �r i �i p.ns nt�� ;� .� ' , � .td...�:._ � . �. �aw .. � ». �---- „e � „ „w,� . ,, ,�.,�,.�.�b ..�.,, .�.��..,.. �, �� ; ;.., a:r r��r � ' � ' � . F ' . �.I� ' C'C,� �1;..e a..:,.., .•�u����O1riI f • ..YMOMY�[OIYIOMM�w� . � . • • . .. � •.� � . 11 V�� M,• M / /F. I � � j/(' � � � , iM�W� ..� MII /l�'VW � . .i M C My ], L� I� f� � �www��/�' oin�oau.�owvn.na ,� /J��-J- wu.• �.+�.� �� 1', '..�. � CAUI[ ��� � � � " ' r�i w+�voMr.naaarw.- ....w ...riin - . � �aen�A.wn� wi�� .��. . , � . . . � '�c�':U , iy, n � � . . . � - ,. . �� . . - ' J I�.� : JY .1 � �..:! � . r BBM 0E-007 ✓9uta Foim 36!30 -.. . .� � � . .., � . .v, i i i t � r � i � HEV.10/77 � . , i . � � � � r � JI . • � a S . ' � i � �,%t . . . �'• � .i. :�.i ,,. ' ' _ r, �. �. .'. .;: � � ' I i � I � : '. '�. ..�..�W.a .�inh..�r.i ;.ip,i �� 1 �� 7 1 "�� 1 � � �,p '{�-����IV � � e�y��l,�l�l��a � �`F�,�y �y�tt���r� �� a. . Y. A!��` Y;, �.'�.C�+, J��L 6$.� fvl .a�+A-[ (Fvdfor.�rJi�r�wk�+'�M'�°�'�`'dt�'t1t�' ��y �t�M"af�t�l,r���F��cSA"��[V 6'�i��'" . . . . � . ,.... . .. . . .. . ... _ _...,.�._L..:_.. .�. . , _ _ �_L.li:.:9�:::.....u.,�........._...,. ���.....� � h. >u�,,,� a ; � ��