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Death Certificate - Melson, Carl_6/5/2009�� � � INDIANA STATE DEPARTMENT OF HEALTH CERTIFICATE OF DEATH � � .,/� t i LocalNo........f...-�"C��... SpteNa..:�.��'�...✓..i.l.2�n� ............. _... ...__._ :.ommr.: em.�,m.mauN v n:we.a V zsa n.o .m ..�..a. .n , s+ Carl Melson aIe 02:06 PM December 15, 2008 I ��tn lbUx+rr.� 1' kr4nO-�•.rv��R�+eYGaa*G�s0Y:4�r.n ❑HaeidY�0ecc4.�t�^t4r�OK+�WTmCaeF�i47�Le(�eo.Yl Ift rwr. rm..lara n�ukn. :..vwi.nwe.n Gi6son General Hospital I IfL O am.5`N.LpZO.'.>x Y.�yry Mivo� I Princeton IGibson �� o�%��+++bo� I aa� �tiw�eaa �� Iu. sm.aosr�..,+a. ,s+ l��'�3�u.a.�.t.ew.s ss. .mv. ' �mua. ,:. wa 8arbara Melson Pollard �State Prison Guard Govemment I .�.n +� I M u� Gibson Princeton I Iwe s�ewinf wp.� ;:ae Kt x:. �:su b4d 903 E. Warer St. ; ; 47670 7Q"` ° r ( n ,.m.,. i ,. � IPrimary 6� � No White I][.r.M1M� eC.YCfr�tev !� VSd�MY��inlWilF1 WilliamF. Melson Sara Melson � Cundiff • � . �, . .. .. � . . . �., .Tk� .�w arZ . .., Barbara Melson I Wife 903 E. Water St., Princeton, IN 47670 � n. v�:eao�mn ! J V.Hrd(1 ��IU� f2 IbieuL�4�.[.w . �TY7Y.(4w lomr-'JV �uel SGn I,� �o � oo.,��e:,+�e. Columbia °White" Cnurch Cemetery Princeton IN � Ie a,>;s�tt I` "' `°"`'°""� � " """"`°"°"'°°x`"""`"'"Colvin Funeral Home, Inc. FH83005671 � "' 'n"`°m"°°' o"^ �i'b � 425 North Main Strcet, Princeton, IN G7670. � � FH83005677 I o.e.�.,....is. . y_ x,.�e.n.m.rcilo..�: I m� ,�' ` � FD01073010 --/�--//��,�•• Cau��OIGaMItwlmWCtiwuAM6�mOW) 23. Par.l. Er•urTMCVnp_. �s-OSe»n.IlWwa�wnk���s—Ri�uxtl5'CanaO�uOW'y DcNdrr�[er�emiv:i�trts Mv�x c.rlifuCS:e[�neA.Rey�i.zxfA'ml^VeN+��aFeJSmN'u1wSb.IrSle��do4Y �o!ktA[Ortv�. EnWOnyO:eCa;neQ:!� ��:<nal�.0.'ae: P!r^e. M'^.0.]:Smalvasi:vz�ss3^�. /� � l ,-o0e�n. 4�:az caae ��w aaease ac�nmo� neti: � aeae a (tC$ (7 ({�A �Il �'y jzl t I Gl 1� _1A l. V' Sa�an•.as�x��w+:.y.u.ua'iV.;ttt^9ioi.+efametszcik+ e. iP][,�i.Z...(,.cRCr� VPA%C '1�tA:rtniM!Heiry'9Ca�.ui^xauAl+IrYiv1!�ea " � I i.x Erens Rntf'vg N�?ex:./ av G Io �.,.. .,>,�,.�.a... I � ..Naa m,....�.--,._. e �u .+.�.w.MV..e. .. � .�. � +n o �vx ,Y I ( I ❑ra ,�� �]:.OGi�pr�nLtG�Wnic'�v:; tufv.ai. IlMiw�IX �: I b,., o=a.. oa o.r.m-. ov,>s_,.��:.. o=��R�.-. faa o.s:,�x�w.c:msv�. � v,� p�.v-., o.�„�, c:�a.-w,,:, ! O!H' l�ii'^'S�ciMiatYSP�`+fa_ C.mostT���([n'.1�'Yr I a. fnlf'C4lvz.� v�iiOlsn�'+�w� w. eyy --. Js-f+aoiev.(EU.Tiams.Tav.�.<.a*+�`S�e .va.mxe ( .wv' . I ( ' ❑Yd ❑fs H:M'a�np�i�i'$YY H� Ulb�.�n ]D EJAMyt+/ I$.lY.1u I W� t i I 1 I E P�P1FFSYV�(lmntl ( 10 � IaK l�J�YYY Siwf.( O�s[vw O=�vq:. O'n��a-.O�+ca�-N I1�. •J.av��Crtf4f A V y^' l.aWTtcfOIYW �,�` ia..�l��ir� V I•�'G�1R?I�!>i�� � Cav �t !if[ `J� IG Ne:rro. -0Rm �.� ZrV CaN C 7uwn CctM+�'i Gx p Oemh: ' Donna L. Kozar MD 1808 Shertnan Drive, Princeton, IN 47670 I 010�% I S 7c/r j i 1� �}�tl� i Iu.r,amnwvas...snor.,. I � "••. , 1 n sw�•niwrr��sa _ ' �!'j/ � ( � r �j�ct�� � � hw,� t�/i'✓��'i:'i.�=%�. lU. .-��--� �snfea rr.ro�m'aa�'z::o-eenh:.�+.sna..ai..>r•..,..:�v..v.c�..r......ea..s:war �.•.-.wr.sr�.a.-�;..ne++�. *Ke..«s+ra.�e. �..aer*..raew�. � � 'y :.. ?'S`,.�.���� NRA-20 O..'" :' (5/os) �i i: ii� i�i �� :i i: �.i ;h� u