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Death Certificate - Null, Alice M_11/10/2004•'. .: �yy1�Ia��at 'v�' �fl � �ll_a-y'L lll{L'� t` � �j 13 � e�l. �1L'1�/.I�ll ll 11M � ' I I ���i 1 v 1 V 1 L...:;v�.� �� n �.�.�...u,_��..r..`::ii:.:u �: - � - Kx,:: � � _...... t :� - _._t. . �..._'- � i1:. _ _..fy.,ia.s�....� . x?s:.a1?r i:c�.i�3i:1�s :..., _ .. ` _ _ . . ,__, _ � • 4TTFNf10N EiiATE ltre Socml t b �._ ��."°;�" �,;, �,;,,�,��tl„ u �IANA STATE DEPARTMENT OF �TH �<wYeC-`y aM U�w wL Ee no oeriaM fcr mhsal. zr.'r'''�'�'���`? �-��ac� CERTIFICATE OF DEATH State Na ................: ,:cLOCaI;No.... i..... ........ �a"�""' .....n�r+�coanswnoss�snnECah�ootr�reae,ss-,-,a 'iINT i ors�wsr°�'n'E u.�u+..� Alicc M tiull G m0-�� ~ > v= �E%IT m vw� usr smm r+ � m Z : • u5 �EiFl4+� US ���ED %OMClS� �iLL� (Q �ps� ���� N/A ❑�, =-ifi mricuttrw(v...ouwo�a.w.enw.� �c� m � �! Gihmn (:encral H�spital IK\ n N� � in �sratus ��.5umrtmcvuus - (I wia 0`� ��Y� n�tl � � O O � Nidowcd x so s ...eo.a. Fem�lc 1230AM1i "°�• ""�� Nm'ember 2Y. 1713 .rn er� ow ro 1. 211W �.r.s.. s /e.v �as� Princeton, O� O YtirY �M O Ou� 19rl�1 k arv rowr�. aa �c..na� a aur� Prince[oo IL CEC6@�f5 dlmYp�lYdm0ri1�9�v, � i'� I in �sve+a�urt �n cann ia an.rormon�nv.m� � � i ti ti `` p O i �\ � GIDmn Priucewn �V rom; �� m n� �s rscaoc ia �s�Earvwrs �. at�o� �s wi.5o[�wta�.�u.carcen w a.�¢-+rra�we.. ��. oltlDB�rsmu'JrqM C� (� �^ ! 0 w p... wwr cw+�.• A ra O... u.� ewr cm.. e`a we. s �L.rn=+r`e.� v+ue.s `� pZA� 7670 ��avi�f�mn U.S.A. �r��.w�<� a..dn tr�.�ri'.�++rm�n c+ra.�a.� ,NOC . � ❑.. �Yhitc 12 � m�� u r�n�s wc ✓.� w�+. �s i� wn[ns ru.[ v.� um. �we.. s.� �� �j m �+ Oscar Dc13arJ bt��rtle Hamm (� C D� mi sralwwnS ru�F ayP.E Ae wat�G �OO�FSS �5n�r.rwrO� e Mba N.r. Ca s Tww 9a Iw Gaa »c MYCerv � m j� rt Gsn• IVuil 6010 Sik•eradq Garland, TX 7jlii4 Son p=i- n..r4n+m�'ot9VHroM ❑ESw.� t�nu�rtuDRK[0�04PO�ttk�Ww.dr�+re.sr.s :�c�aGilOr+-Gbere.w9r n a' � e.�. `J u...e. ❑ ir.... n.. a� .•�..b flur 8, z067 p m( .. Oaldand Cih• IN 'K y' ❑ pem ❑ o.� �s.,..� Slmt�mmery Ccmc�ury �.�? �j. xa 9eu.�e�swue m•.�•• ^u�w a xasourn�EVOwfmroconor(m Ma:kRR'slrer FIN11013010 m'* ❑•° mm; ---- uNi m' ar Wc� orcC �u irtmt Mra _� _ N Z ' W frtwv m D�; Q F'W1012933 � mm. 1 � ��� � o i 1. � v msre. e. rw aw .a..� A.w = g: o = e �... �cy�t'E -Pt� , -� � �.m � x N�, ..E.. uus , yutp� � o�� rs , �JCt1 Epo��C� i� . p �m ��: m.eo.era o ..- a � r �m• cem....n..r.ao� a.Erownns.cwsaE+.+.n� � T� � �CMwlra� � N D0 O. tl°'�` `�'�"� aF to ro� �.s � cwsp�¢x,E a� r O AZ� � a n �➢/12. r ow.w+�+•� .�°'°°P• awww«�-y+ .r.an� � oo' ��/1Q(L'tNf�b�d�1- �eS�tYa_�C'i'�° � 1 !'I, y >� rsu}�+cie %�c����'i-�t�i r a �m wrv�w wiaRn;'�wa�nr Rusiries� ix s� u+or4aee� 203 Olirc Drivc rw�c. rmrtss+�o ucrfs[ raaea�or n+eut r�o�c ikin Funcnl Homq lnc Ft1S3W5671 5 North Main Strttt, Princctan, fIV a7670. ,� ..d,_..�.�.d. 1JF�t�� C—D�d�A :f�R—t f)lsENs�,s �._.. �� %-3'"��-� • �/R� ]� W�5 CEQDlMI iy NA541 W103Y L! NlIC WfV6�RdL5 e�[o..wr an n o.n wxowin+ .r.uncwo�ro rosiv+uru� <r.ed cowFnarlaGUs �.., v �x or oum, �...,. N� H� No � OO. �wCUmn '�C81 � orrv9LUU ieneMawr�a��srwecv�w�m.w.ar�.aenwa+e..c.rVra.e yyy.. � � ❑�EKiXORiCG Onw�estlm.��d'v�vP�^�T/awoCrmamn�e�MOarr�fYnNe�u�o�41�CaJ C m - ❑COM�A� d .�aN���^nawwaa�«.vne�n.sa.naow+..�aYYwe�t��a.wrrsa � m m m G� ' �ae saunvc un rrt� o� rn�Ea � � /� � um.sf o.�� a��.n � �N� i�'i� • 0��a��G v 0 2.Z: nwnEUOMORSO�oE0.sa' imuu5[o�ouMmEU�m�rp.M� o� Rama+h Pa��l MIl 1(Li N.2n<I A��c.. Princctnn. IN -07670. . ' C : l�. rEUinO���CiM3 W++NE / ��// � K �G.i' "GLLGY Lr. �.LLUI�. � m2" ? y U uu�fA0f0u*w ]r W 60Fw1M ]e nEO� � 6�, r� wi./rv ``� � i O= : � tivl ❑ � / `,� se wurt•�r vo�� ❑/�c� KR/4F6�UA�-Ybnlwmwi��r.k� ' Q SN� ❑ Cotl.V 4 >��^L �[ �A A� I�a OESCrteE1Qv o� ..n dl H lOfllCY.' f4�w `Y W�O� a N/ IAY MwC�. fYf s iaw Ssl 0��� Q 1y[Y� �� :: ty' ;� NY 01i(OIbNOIM:.iDOGCLWCif4Y Y✓1 3O Y'JTd1YB�I.lF1CCfE1R� IvnoM1 IN V��IOVPrP�.MrYw< � '{.� �� i�f Y .1 �.^ � � 4� e IVFiA-20 (5/Q3)