Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Death Certificate - Nolcox, Thelma_4/23/2007
�5=:w�!�e�:,ro;p����e:�,��'�e��o����;�,i�15SUED .q� MARION COUNTY HEALTH D RTMENT `��°°w^'ada^a!�«<�„�^^°q^a!�v.'°�;_=::_; IN�RNA STATE'DEPARTMENI OF, �LTH -rolu'szi'-_.;i:t.t:_,!.I•' "'_ __' _ _ _ _ ._ :�."� . ._,!:..'';r_'� _ __ __ _ _ _ __ _ _ . . �.. :i r � - .. .. .. .. � ., ': :, - ' . _ ;7'": .k'_..._..;,... . _''_'i�_..� _..�'_ _ _ _ _ _ � � _ , . -... .. ..:.:...:... . ._. ... ; . . ,. .. . . . .. . �. " ' •':.:_I.__��......I.... .._. ... ,:. _..-. . .. : ��... . .. . _local:No::�::=:;:'=::�.-•..:.,:.>:;:,:' .:..::..:..::.:::_;;:__;;_', CERT.IFICATE:OF DEATH S,a,eivo. .......................... ,. ...,,Att / _1 � i ITHEF GOFDSINTMSScRIESAaEGONFIDENTIALPERICt6�Lt3�7 ' � . /`���. , �.�� /��i�— � . �-/L TYPt7PPl�\'T�I o'ec's�q r..4e �r a� .i .n - z s� �. uMeovSe.r� (.>p{:/ e. oe.- � ., _;h�; � -il _ - \� - _ .. - . ° M4.� '�PGRMAN=NT ''�� : : :' ':::� �' I - .— _.- . _ .. PrUUGST a2, I i - - _ = e: �wnSG_CEDEM-=-�' -� !>�vEs5ti5i-S:PVEOm - - � - ' 9� ci<CEOFO:>i!flGeno�. - �< V 5� EMN � US �H�'D Fpq�ES� u �r�nCeron, in1 � ( . L " . _ . . . " �OiGi•n: - �.' monem � .. . 0[nEP � M1 m_ ❑ P+.r:So.dd Lt N o N 1 A ❑ e=�w��« O eo_ O F, ��' GO F1(JI,ITYN14fl. �-�vmp.� T!r.v�vl/ . . 9 GiT iOw4.OFLOC1ilON aDELiY. $: C l'. 0'^ttN DcC'tDENi� - ' . � �� �` � � 1 - �. L S I��,---'J'�.� �{"2.� I�CJ`1t3�1:�\�S I ���r ' ro_v wi S1�iUi � n SUHVrvwL5�0U5: —� i:� DECEDEYi5U5V<LOCCV�=JO�( ��rec�+-�. i,a nc.DC9UA•¢SSM1'�JUS[u♦ �s�o.« � . ' �+-+.. o�.,•�.o., „n . 'ex. a� 1a�.wn w->..,�. a. oo roi �.rm.m � I�-filJic�G�(.1.� ..I� - NIA � I�. .. y('r„Frl� ,iCF'� I Ol;:lv O�ii( U. PESiJinCE-S:ciE qa CWrrtv � � „_.r iCw.u.O�LOCC:iCU � U_ S�=E': n'vJ :VU2E9 y__. - �- n,����A � �65on1 I ' (��, NCC7oN , �aa ��,sr u<�ZiaCOGE �L.wSU)FCrtvuvii5 u Gii2Erv0' i5 waS�ECEDE>+iOfn6anngONCx+' i6 FACE-am�c�nlm�-. 1: JfCfD"ctL$EJUCPiIpn' - ' ' ❑ No �,vn vinat CCU'�nrr $ Ho O v>� le yn w�•ny Cvee, B.c� wn�. ..c IS :r, av.�� �re�m c,.-<<vro4.? Cj � . /� !, /. r� �d O�: � FaRUV - � ue.<�n Fvrnv /YCm nJ (.U¢i�) E� __ � l) ! ° C( s,�� .,_.,�...., ,>, I �a.:. �, . r �_,,�_ ��e o,<.. C3�ACK lO : ,._ • �� IBi<iliE� UM[(Fi�tud.-�.�.Li�O � . �9.A10:MiH$N1u�INnIJrtI6e.Mnem$vru.�el �%�CNIS;�._'.'. - . ^ , :__;:_-. .. : ,=:�eor � F�z�! ::-I-�crci�ina:�. E�Si L �i:��ti.I�VT ']Oi�L4[OlW4N�$:J< ' Jyy/R+YI V 'pp-M 4 PDOAE55(Scn�inaNV�+..wRiJ .. p, � ,: : .: - � I �` ��1. ' �� �� , o' z;_ ��.., ]i.ME1YOJOFD4�O5�tlOn� QEnwnM<n � }I_D�tEn4D0.PCEOfDIS�OSiIONI�v���dumny.:�e�nwyc J _ �a .., o �:m. � A..a.,�,,_m5u,. a�.�.�.� �}u�us-,- l'], l995 D�o�. . G a�., a i� �, �' � ; ; �v�t ll,�ll Ceme � er�l �mE�SOIJ �7?EEi r� n �-� � �' �— d„_, s,.,, �,� �..:., I,� a.��� � 1L. LOGe:q:. C . ���" 4ae. 1l r � n`e-b �� ,! n.-�; «rxz� 'I�OSITIQ;J. ' :�� EuPaeui?Sn�<uE � i::: Ev9a�uEei:iCE.�'S'�+0 .. -SGEC:..;,:=M�iJ:JCOaG::::;. �'- � :��:�� UJ�,i!F�_ ;oiavoa-- � ��� �,., Z":-.�' . z�.�SiV+<:l'!ROFf�,�.sl . Ci /. A 1�e.i�CE.vSit+U�3Ea lSN�M�.PDDa"c$$.(�l:JLICf•.;i::.�JVE:flni:U[a�lF'J4' �•�: � � /� Id[bnurel ' ' I� p -i�(� C Z.: . �,/ CDIvin rC/nOI(Z( 1.O/Y%.� 33oOJc _�.° .� � . .� I ��jDiJC;.i�- I`'i�'),5 %�or�h (ik2�i1 Nr;nG_tor7, lN `17G. . ��._°:i� . . . . . —.�. _' �c-d<ni em .a,-..�.w��-,.«�xo�.nm,�n,��. . _moo�,M.,��x�•a�n�>>��e�_�_.��,_,o,. ='r '_ __ !�nx�.o�n.,n�i..,..o. . �..�eo.�..o,�.. H' . .-.:.:�. �. u�_l�. t�:., .. 144E�Iiii�CRUSEfF�v1 N LV� JY���Z�i "r r�.11/�!'�J�.' :�`!J,�r / v ;.1.' ' ese�:.n.��.c•m+ � _ �' �" "' • ..OU-IDIORLjLCONCCOUENCEOF) ' � / . ... . _ _ ". ' " :GSC:�F:=' u�M'man:al ' ' _ . 'J i2r. - - . . � . v�__,� - . Co+_um+��eq.�. .. OU°�OIL+-S>CO��SEWE'+CEO°I - ^.� � ,.'.ro.,l.n ' � p!'_:OlnqnS<CO`:SEOUE�CEOi) � z -. < 4�... _ v']'.'._-"_:.'_ _ . eap.O.P..u����.e�_.nemenn..�.Cv<ac�.cm.anv�;uo..inx.neine.wnyn.iee..o.ni 1Lwn5DECF�EV: 7=�wnSe�nU:n,gv . L'•.- ' � . CIEG�JqNi pR 90 JCV$ CE�f'�'r\I�[�' � ' .. . OOSIGiflIl1M� I�.�a+a� — . . _ . " . _ . . rvu w .ro� � z.-.'.._ :: _ :::... :��_; _. _ . . . � � � . � . i' 0 /Va a>ra..,.�. a....i>,i_.., 0...� ...a 0-.�.. .'. ._=`_ 4V:0?SV rl':0�':JS a`n� ca:E aB�Jq 10 CO�•�li i✓.v! OF C4v5: O� UEL lr�' 11 ef d MI 'll CR�11 '�ICEa�1�Yl.':FHV511. 1 IE-Ne.' enr.� ...0 _. I�e[�u�.'s)�fsif' a� .e � �G < V � �"O�E�ri�O�FlCE G.0 d. .l m-.y �.E nGC •rd:.bN.[ v[J � '�� COFJt::n C. �.- Caf f el e r^ . eKl_ �r . Y ea'.�.. �� e r.f . e. C��e. �nE I.�M Cu. �o v+. c�ui: sl.. �_ ... ��� . i :_:: .s:'9Gt:U'ncnnJiiilEO:CEF:6e= � -�. ..' ' �.. �/^�L / ��. ,I ( �ja:•r,�EF�-. �_ sr�-c�•;.� (-1". Jf-�~i ' n � v ID nard2 u:ri nDORV55 O' :i�50•:.r�.h �p..m viEC C<USi G° CECia lrtcu :6� I;ynv/ar..n .Gy�1�_.(�-..::. n�•eviiec=•iceass�er,<��„�ee � Jj . f.� /q . 1 . i�a ':� -�' . . __ - � � . . - /i 1 ; i;:J.- i' (J .'f Gf/1/. .�r�.0 o-- � - .,„ .,, ]-: pt:,S�C+EDU�w:�Ce�.!een ��.tL'_Cb'r'. / � ��/' _. _a.i °0.EJwa.m 0...'r.. r,nr-, i � �a��, z� ll.�l<t�rv2 O��E iN' ' J(��V :.�P p�.IiMEG� 'J�c�N�rniwpa;:+ I Po �c5CF9EH0'++kAa.00CI•"fJ - . ' - 1 n�.. ve 1 bNJUflv . f ru o, nel p.tl,v OPZ� .. � -- , m.�„�. .. � .�.��. . . r:�„ _ _ � �7na.a<�u;..: . �._� �. _ .,` - CIP�:OF4lN9�-A�npne.l�rma e�1�elarl.ell�e• ]�I10.�.F1bNI5�...��q.Y:r�..rOrhr�iPa...nt'�C^CAY�+la�n$In�el .. �..�. .�Ca.b•ne- 'w+e.rpe:f$Ce[l.l � .:.: J' o,�.,�...�e ' . � . - . :. .p� ,. . _ . . :� - �(/1- �.;'-o:teepoNdi)�ccoo[nor.a,mo.,.re..� �.nuaionver�aE.eee�o[Nn�ryym�.u�..,aearyn�n.o.u.ns,,.���.,vone�. �.: • _ �_ _ .. � . '_ __ . . . . l:J.� 1: _ _�o __ ' .._ _.. _ .. -'`."'_'•':.'::-0"05:00° : State Form' 10110 (R4/3-03) Deathcer/PD l � ;_:::,: . ..