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Death Certificate - Mallory, Glennie June_3/8/2005
__. � . _ Y4„�� ���� �y'� �� INUlANA51A1EVEPARTMENT'OFHEALTH . �' � CERTIFICATE OF DEATH • S�te No . ............................ � .<t�rro...:.Q..s'�..-.?-�J.�1:... _,�:ti-� 711ERECOMSdT1Q5 CONF�hTqIPERICI6JT-1.iC ---'—HINT ' `�— � - w<w.�w � m snEawrn awrEVOUn�e...�a�, _ . Girnnic Juue Mallory Femalc 07:00 AM Februarv 12 2pp4 � a �m�=VENT `''aausa""r°'a. ""a�°-" ' m 3 D NjINK ' �� . �v,�J. tn ' r w�SOFt�Brt e vFkxusT56tvme 0 3 Z •us.arz�.ui . us.isEnsw�,+ �'Z mj( N/A " . � � D l�fldliYM114f1.v/�YnO�v�YC�t. _'� n r � �_�.. RR3Box101 < myn 0 p Wl�T451�M 1�.9lM�NGSPOIbF� � R Z < W�dOWld U�av+�r.� �,�� rD- O O �y �� n.a �a oaHn '� -+ m Gibson �� m ^' �s mwa n .�anu.rs �. a�a m m n „ w p.� «.�., cw: n�m �" o y 7660 ��o ori•n�wn U.S.A. mu,'! w O�n !A O _.n,'•.:` ' � r�i�fn9M�e1Fe��lwtav .�my' . .,zmm�_.. - (��nkoowu), .. �' �0-`��:' a::�5�uwnr+.�an,.n.e . `j �p�rp�'� Dodg:Nalbn' r . r�- ��',`,`_ n. .�ir000e oawsnw ❑ E,me�.. _ . O j �!ur_. '�Q G�n ❑ Nma ba Fo ' o v� ❑ m,.e �O a,. <s..w+ ' � -� r�iLL� � iQS� "O" ""'O�Jaue22,1935 . Ot1B1 ❑ ry�91�m �I�YO"'• 7}Y. TOwN 41lOfi�MA OF �FATh' : cnr. raam ai icc�nan �Oiklmd Cin if w�$p[��p1T6�Q.WCOIYpI� � b ��n P ia KF�Y C�i re� w.e � �� �a s�ruoMSeEn RR3Ooi101 LQ-Nrp�Y�Y� W4M�c rserbi .� wuc[ <Ur.esa e rs.p o. c4aldn, Indiam weaw.� � 4�Y� �. caamosacvx ibson voar�cusiw, 1). C6�Ii5ffI�11CJi0� tswr4.n.4r� w. e�.ies n/�'m�a cden..� 1_ tf WIIERSNMIF(�nitls+f>Srsii . - :' Yerlia��Stuckn• - �'�it:nwi!GmES5C9�rMawsl4rnvn.s�.fqslw.9rLCed �mc:h�r�eo ''REi9��Boz�lOi�,,OaklindCirv,QV 47660�. �o tmo�rt+wav.CEO�a�fl9r4�w..ssrsrro�>v l�ctouilOM--Cners..sr =`P � . --. -. . �w�`nYCtl -., F!b �4� ZOOQ' "�',,... .. Somerville QV Some`ri�lle Cemeterv " � S ON ta +i w�a m[.u�u6�sufPRw a w�SOFwrnl�OpnmrocoROrdr .-_ Z N o:�r�lci ca� FD07005271 �� o... - �m m ' - �n�carvaio.�croa �n rn' _'.- w ucws �a.ew a�wa �.ao� �.m utsa[ ra� a nxnr,i w[ N z- 1°"`��' Com-Cohin Funenl Home FHI9<00002 x m m "' � FD01005271 m � � 323 N. Maio St, Oakland City, IN /7660. � mm' y .pp 3avurtl fartirrMS�.raMm.w�uw�aa�aaaw�r�er�evm�rusevr�am> �a,d T . � 2' .law.n�wnbsnwa+�p�usrer 1 � �qrrr e....� � _� ..m.rteusew.- , __G6s%1,., :.�C�_.rioG.%:��. Cu¢`/Ki•uo.s� c� �m e�:mee. aEmmn�. � A O. �n.o•aro �C.+9�c[on �. mZ e -`��.�. V pa �........ww.. axro.n.s�cewcpor�a�. T T� e�mMw�00�� mCi�. talm�� OUFTOt011U�CGIQ0.�C[0�l N� � O a � �� rurt � dw �v+� cum... careas �eae+�v r e.� w+e u+.✓r e.a . an i » w�5 a[EOwr ]s wns ui un03r as woE uJ�aT' HO�uf.s � N S �♦ �o �^ AECn+wr on u wvs PBPow.�� .vru6Emw ro � mn niy�� W�� (� �/� f'%� .osn.mun �r..r cdwcrcuarwac Z �O rvwsti p{pam�r�s,w Np � ho yO vo . � Om tf�1sEP �CFNIE�'r'GVnrSOY1 reeyaa>wr�er�sanrae�mar.�amwrmnswwtY.�ese � ICM�M .❑MUTMORIG91 O�wemtlu�wew Z TIT s� �Mla�nwf�O�Y��re�bw�aw.lCal�a�tlubMUe41Y0aa -i � �? ❑caoEn 06CY�d�psd�w(I>M�pOUenI4PmK�rcNM�MOSGY�YOY[tWNbMOr41NM�sv6 m � �a. .ra .C/_ _ _ � �.mrxum.sw ��sdwrzvo�i D m �[iy / rN _ =0� �ew.euo acx�or�a�otaac�cus m � Dr. Terry' Gehl6aasen Hwy 64_Wat; �C 9° v.'rrMa+rnaso+.n�c DC ,� Z ti ti ; � _ 4 +� av[ ram<wn o-. .�, �1 ._'" m x » wwua�rh w wrtan�nn w mav � ou�.�rwown ar aSCReenow.ua+oectmn Q• Zm ubqay.�r �aMr �rrs,v D � �'YV� ❑ M1+o n o= o.��. �-�- �..0.�Rawur-r.e..a.�u+wn«...e�c. MLOUfONt9�wN�aYSMIVeMnO�.G�vta��) , ❑ Sca � cer.a r usa s cLsM a .r.... °'°"„ o.ao�o�ou�or.nnn.o,..n ��o.ox�,.aF.cc�oe.,,�...>w .,«m.s,d...�v.o......<. SDHO6-004 State Fofm 10770 (R5H-99) • ,I�71 �. . V010 If ALTEREO OR ERASED,, NOT VALID UNLESS CERTIFIED BY HEALTHDEPIIRTMENT h;