Aff - Miller, Jordan_6/25/2001e
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STATE OF INDIANA )
) SS:
COUNTY OF GIBSON )
IN RE THE ESTATE OF:
JORDAN H. MILLER,
Deceased.
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IN THE GIBSON CIRCUIT COURT
) 2001 TERM
) �
.) CAUSE NO. 26C01-0104-EU- � � 3
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AFFIDAVIT OF DEATH
Ronald Miller, being duly sworn, on oath says that Jordan H.
Miller died on or about the 2.6th day of January, 2001, and at the
bime of such death was a resident of Gibson County, Indiana.
I affirm, under the penalties for perjury, that the
foregoi:ng representations are true.
. Y-�4�" ��-Q.�,
�� RONALD MILLER
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