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Death Certificate - Niehaus, Hazel Rachel_4/20/1998— ' ,,,. . ` - • STATE OP OKLAHOMA • . . .-- �y�.! CERTI FICATE OF DE,4TN � Q� 2$.�r LOCALRlENU1�@FA..pf�-/ _' ' " _' "'_ STA7EFlLENU7�FIi . 1:OECEDENPS NAALE ffllei'�7m4 �+Yi 2 3 DATE OF DEAM (Mo�7L Dq:1Ytr) — Aaze2 Rache2 N.te6aus FemaZe Feb. Z2 I998 �°i0tr 82 � °i� H0°° Y°°`�7-30-I975 �O1°"�princeCon, Ind. Ktuck u+M me) tlffiPdAL• � ❑ ❑ ❑ ❑ 6A Flrum w�.Me N not LuSnrJO�t W+� av�at era ` �„�„�, Fo��..,�.. ,,,,. �..._�- — - .. ° ^�^- - - Dqg��wr�fhM . 1?a. FE50Fl�10E•STATE Indlana 13 WAS OECED�I7T OF Yr-!lYes. �ecMQArs l3No Ovw speat� son Princeton 930 S_ State :OP!(iIN7 (SD�% No v 70. RACE-AIDe�mn tr�m. 61erl�. WM1J. BiG . � PwrtO Rle.'� oh) S� Wh�ie .. ._. . Vu) t7. MOTHE3l5 NAME (Futt A ❑ 9urhl ❑ Cn�MtSx1 � RwnMl Wn StW I o'�+�Y ❑ oa,ua� po�tswaM ' nP..t FklF3NL HOWi • HG� AND M4flES. (SSael w RFO. Ne. CQy mTc CoIvin Paneral 9ome 425 A.' Ttain Princeton, Ind. 47670 tcue oF o� u o� vxor+ouNc PART I. Emr 9» @w�ssi, hJu�lq, m mmpSmyerc Uvt mtmC rtm Cm1t NONB I t2nWSIDE 711IIPCpDE QiYlJ1YSbT �Ya+O� 47670 DECE�EMB FDUCqTipN feveUN mN hqhnt 6e0o cva7ctadl 196 Ow+ ONo i� " 1d • a1mlcunuaaNCa.tNU�ry'wceusoanaeu'6re. _______.___.�_ _, „ ...,...,.o...�..w..�,��maC �oe�ac•wwsioa�we�n . mial mE EmA LWHEDUTECAIAE ff'mM amu a mn�io� natltlng ' ba+W g� d� i W/ t� Oue ae awvWian 6pumdCY fat meM'i.lvc+, b, � . . ' � s�N. ��M m �emWta Duo te (u u� tonepwn;e elk ' 0.0f0. iY1W lklDc-{bY�11fa � � G%USE (�98af� R h�tqy Qnl C• �I tr�:k:oE mrae emui&b in Wo b(a u� maeawxa ofC i �7+>USi '". Q VARf L Otl�er.lenrte.n m��thna mr.�qL'�.p IO EmT AwWny N Ou uq�rlyTO . 2la W/u M! AU70P3Y 2t6 VlERE NUiOPB'f FlNDW 0.9 AYNUBLE '. �ms9�hPM1. PERFOfiMEff7 PRIORT000I�IETIONOFCAUSEOF m0 � �atH7 r., w, - zm �uroPSr wniow�o er. z�a wws eoar es. v,vwEa oF o�n+ � N�m„„ ❑� Q nwru ❑ aceaw p su�e. p H,�ae. , p nw:`roibau,n eoaa nn w Q en.�,�,.a 2EiDA7EOFPUl1HYfMOn'.hDiKEfi0.7U7E0FINNRY Efic.4WURYAT 16AOESCRIBEXONINJUftYOCCURRm �vN w0Ax7 TM �.O 2Y PUCE OF I1t0.JRY-At hoM �L WaN. fatfa% C.J,.ro. =�BB^Q. 26L LOCA7GN 1�� aM Num�er u iWrtl Rdfa Numbs� f9Y mTmeq 9un) � Iw�M ���e � O �nrsFi:arxar'rvs�aaY . _ . ury Mo.hOw. daci wttnne at m� t�r, dw. �ne q�u. u�E ba� ro A� caw(q anE mansr u atettq. NeCU roelbniPnBMY+� Qamrcyn Ah osfifimro raLea you ea ESaahpsl�n+MO attarMsew dmiased W a atraal�wss-ure4rodlo h7urya ._. mhMfi�-ro whkh tlamtlwlm epA�/69H+�+�mN�G wwA}adCat d'e9� dHnat cmu wiw aecmaQ wa n D�elbnlcMen'a� orCnby� e tnn;oeolc P�+�b A wIJtl1 Em0 vam NnsM�Od'msCm=Y a.¢�BOeQ PormuaaroGn e/tiveQU iWJxl b A� uM cro�2$pEP'1 GY6btllcff EumlRp, rdu m OS Tltla 0.t Sse Ri9. m mvecf o18w ol QWt Ma6Sa1 bsm5isrt� OAtticma Gy� ❑ MEDIGLLDUt-0WEK � . On ItH OaslsPl CemlWktl 'wKt kMY17aUi10� R�Y KbbM1 Ce�1b OCU�Rtl �I IN Ifm4 Qa1B. ME 0��4 tM EuB ro O�e oiavi�) azd maena� 8f stOlaG ... zf6SIGN�WREANO OfCER R � . 27adIIE5�GNEO(Map�.CU'.1aM • � � t3 f' 20.NAMEAIVADDftEq$pFPER30!lWXOCOMFIEfEDCAU$EOFDEW}ipTEMy�({ypyp(np . Dr. CeLta Su'tton. Pad.Q 3000 ]Z. Matn . AZtas, OIC 7352�I 29. S�GAANREI���I -.. _ . ' �QOREfiECENED6YlDGLREGISiRM 31.0A7EFiECENEDBY67h7�RE0f57AAR " � �° �-r3-Sa' 6 �g�� oi9-o�oa3 -cx� � . �i 3� � S�� 4-ae-�� ���� � �,�� �tttt� �e�� � � ROGER C. PIRRONG ��e Q{ ��h�� STHTE NEGISTNOROF VITGLSTATISTICS OKLAHOMA CITY, OKLAHOMA %3��J�. I nenDy certl/y tM fora9oing to Oe a trua anC corrett cooY, orlqlnal of wnich Is on /lle In �hII offlt�. In teSUmony whenof, I �rv� M�eunt0 �uDUrIDaE my naqt� aqg CauseE tn� o�ncia� sui to w a�nxea, at okunoma Clty, Okianoma, tnis aate. APPt 2, 1998 l�qA7ED IN THREE�COLQF`S; • � �, �,,': ///�.. ,�\``\� i i �.. C i,.�. , � . ���_:.� ...---'. . ,�,t.�.:_���/ .. 1.CiLlle� l�U�jTNt��, \ ' : ��. �`• �. ,=`��J?}1 STAT$i�ti i�