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Death Certificate - Nolcox, Thelma_8/21/1995�_�- �- o��-�.•� �.�o�so ,h�SUtD BY MAAION CUUNTY HtALiN DEPHRIMtNT rsvolunlaryana��.r.w,���a�o�������o� INDIANA STATt DEPARTbtEN7 OF HEALTH wtvsyl.' �oca� �:o . ............................ • CERTIFICATE OF DEATH • State No. ............................ ;�TH'c n'cCAFD5IN iH1S 5"cPrS nRE CA`1FIDEN i141, PER iC �61�19J . -.4. , ..�.�. ��/ � TYPE/PRWT DECfP5E0-wuF 6•nweao-uN ].5,�3� L.IiMEOFOE<ie y��•-ppOE� _, �N I \o- I�.-��„a, U �� s P�IZ?AANENT ��� nu l<Si SEPVFO u� 9� o�pCE OF OEaiH IC.�ea� ardv me 5�� �r+v�mn�l n u 5 vEiElar+> US <q✓ED /ORCES� OiHEA ❑ Hw..q nom� ❑ Ou,., tSo.c�.� � L� II �OSOrt<l �manen I- N O � I' 1 O EP/qxam.�r ❑ DO< ❑ Re�wmce Op fOCq/iYN�VE1 p�� Jnn�LSl/ GT� iOwv.OPtOC�iqHp� OEA1N GC C l� i'�O��rs iM. DEC"cD"cNT I C'�T � n .. . .. 1�i1�. • i �1 I �I' .\ . . . _ n .1 � I L1! � ..0 1 Im u .ieuwa � w��cswus[ \ �:. DECEOEnr5u5u.lOCCVa�npN�y..b.�y�y. i;e [V+oo�auswESSn«OUSin.' ISp�cw� If Nr. p�� ru.ven ium�i N O^p�f d�e'��q Ye W M vi1 /MeOI t1Ji �(.C,� N r.i»Fn, .KF - Ot��1J r`fOI�1L. u. nE9oErvCF-Si>�f ix COtn+i• X n:v.:0�'rv OaIOC���CV ua SinEE: nnpr�n/uBEP ',���,aNa � C�gsoN � P�, ticE � o�v ��a �AsT �mEeso,v 5,�� � �Y ZlvpppE 1L.IHSbECIiVlN�iS I� GtRENOi IS weSDELEDENTOiMISPMCOroCR1� 16 MLF-in�.�anY�y� q- ' O W . wn<i COU+ran - DECEDENi'S EIXIC�iprv _ $ re $ wo O ve. -(e.n w.c+y Cve�n. Bbcti Vnw�. �e. (SxcM a+y iupnen �.�ee �vmdn.e. ? y � �� ,�a a�.�.a.., ��sq u..,� �.rta�.�:,�, «,., �....,,��...a,,, I �.p.,, . a,., ��, o... C3�ACK jp _ ��NTS - �e iP1MEF^�NauE �f.¢ u.ey.. ��y ' I .. . . . _ i9. �OiHERS eur.¢ V.a �.w. u..e.n.L�r...i _ veor4 = l=�ed �tTarci�ma./� I ESSi ��e�l �rc�d - - >o.. wrawaHiS ne I iA+n -' - ' - me. q nDDAES515...� ��e IN�RMANT �'O' n r . "( �. � t Q� �ar e ra-n 5'.n 1e cee.� xa.�mo� __ '_ ... Z N� _ _ ' _ lqi�uEiMODOF/d�5pO51iqN ❑Eno.e�wn . � 1ieO�iEU�WNfJ�CEOFp�5op51Tpvr-1//+r��ar</w�m�.ryerw.naryw ti�.LOL�iqti-CFnie�..5�ne �' W&wnl - IJ Gwnnen �I F�nwY hem Sute ems [b[el ii u4Li51' �/• i Q i 5 .. . . r - _ _ 3 O oo.�.,,s, ❑ oe�.� �sw,� - - `rj +, � 1-{y, 11 ..iCL m 'r 2 f .�"Y i IIC�'�'O t`t ,/ l�i.'' c2 /?�".� i�o�0$17�D;q 11. E�+�uEaS�auE - '� � - ' - ;;_ Eu9nWER5lKEN5:N0 I .� weSDEaina[COa1E0�OCOAO'+fe' _ •J�,m i r �ot3ooa- �~^ ❑.°, : . Z '� ' 1a STN<TVPE OF F�F!py CT � }�0 I�CENSE NUUOEA IS w�uE �DDXE55. avp UCfl+Si MIVBEP 0< <UEH4 NO�E Z � - ""�' Colv�n i-uner,ik l(eme, ''�3�os�� 3 ��� {{{��� l �- d9wcsl- ^I�5 Nor+h (}1Ctir1 . I�r;nc•zion, inl �nc- � " .'" 16 vaRf/ ' Ene� m. a.«...'.nu» enyemen� mn ew,w me aeem De r�a w+w ron.eeeMC n.�-� .�n rr <e. .o-nwy . . a�.e..•.r. / twc m<nr� i:µ -- ✓r�R' �MCk P Iv�il l�ii�.11t MI) w cw�� On r�N Vv � � "' ' _ . .-' . ' _.. ' `.«.rem..«� - � ..- '. - " _" '- . -- ("� . - - � -_�. _. iuuEOU:F UUSE iv.vi - . N I,L� � ]-�l � �' ur " `! ^ t ' ' 0�..� ��a Dnn u �r -_. \.. - n..... v cu¢een ' DUE TO �OA a5 e CON<FOUENCE O� ( ��Se:o: _ ..�.,«.,,, J �, � �' _ �_ " " e�.�„ •.,>....�. v.• ove ro io4 <s . cor+seoue�e¢ o�i . J1 . _ �_ .��.+a w oc.�..qc.m. L � _ ��yd - Wi�OlOHaS�CuN5E0UEt+CEOFl ' . . z a �Ti .��.- - �1Pi 0. Oo�er �9^stin ewamen� - Laww earpu+q m ewn Mn ia w�..cu O�n I i .. '�' ^"'° ^ 1i w�5 OEC:JErvT }e� w�5 �p n�rtpoSY �]!e w'FP'_ vU*OeSV •wpwGS �. oVlEryunHi pp 9p DnvS _ PEFfOPMEO+ ava�pB:E GaOR t0 � . OpSioaaiU�+ (Yno.,el pOMO�EiKK+OF:dUSE � Ivef m �c) OFUEi1M+lvea>m� z / � / C C I:e. eeArKi•a QCeon.nr+ewv5ieinn�^.ep,.w..T.,.no.�.m,aa.,..n•x:,•me�..11^em-m[a<n.x��..ee`•mw.mm.c.�,e�n.,:nua. pe �G«. a+. pn�l ❑�dL'�Q[[I�fa Onl •Mt f��0��^ �IN�mf.t1l�.�bp4te.�rtlMlOPecauiHfl�a�M � ❑ CO�W:fa O• �. ona o�......uiv.. ee�pnron mv orron a rm n n� �me au..m d.cr .m a• m m� ume:o e � ]9e SIG'�iUF4 <Hp 11t�E OF [[CI61E° �1 e VEDICdI �' NSE NO 1?v OOIE $ILNEOI�b�e� Ory.'r��l ���; /�' /, <.� -; ,r �' 3�'� � ; i�. � i/Ll"�fl:/ ''i" �—Lw . �.J I • �j �iu.rlC:i.Y. Z� /�l��� ti bN<M��NDSDpp[SSO�oEFSC'+�'!�OCOVCIEtECC�USEp%OE��w(ILEU:61ft�e</�� � ��r ]t nEetin pF��CERS SG�s1UPC P. F ]i O�iE �0.EDwmrn Oq. tr.n ���, , , . �, ,. � , �'w . icr,(2 � auc 1 � i995 z lJ Wet�mE^OCOEaiM JIO<f� UYNP�' I pe iluEOf ]4:lJUR�IiWOPM+ ( . _ 'M��",.' e J�a DESCaBEHpwwi�nvp��U�ED � ❑ N.wtl ❑ Vwa�na wNRV Irn ro� ❑ n Innnqnw• = eeaen ��.C�pC:OFwN4.-<�mme6rn�nenb�twaoMCr ]alOCa�ipu�5n.�n+JlMpva9wtl9wneMi-pe..Caywla�n5me1 � ❑ Srce 0 Caw . a.ie..+� _a 6vr[t.l . < o.�....,�, � — O..a..te� F V' Nv OeiE �OtiCUNCED DE>f] �wre D�. r...� An ��O�OM vEwCIE eCC��ENi+ �re� s ml v �.� ��i. m�..•. ov�e+qrr. peevvun nc 1 l. i =DM05�" SCa[e Form 10110 (R�/3-93) Deathcer/PD 1