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Death Certificate - Peach, Myrtle Agnes_5/22/1978� ^ Cil5iii4T10N �::•ICT NO. ?EC,:STCREO ::U:.eER p;C°c:ED-f.': i. ciy .E�.��c.l�lti.[c� r� [w�C� <,. white �b. Ait. Carmel sr.; c or omrw n..ar �. � • �.ic::i!:i_:� �J.'Y Q� i� 1i_:1�(i'[ >.G�L�'i� �F STATf. Oi IlL1::0�5 - hSEDICAL CERTIFICATE OF DEATH ^ Vjc, •• . ..mo« usr � SEX D4IEOFDEaTH i-ov-_o....a.q tle Agaes Peach zfemale 3February 2, 1978 )YIGII� CP LCSCEHT �GE- �• V��DCfl 1 fE�F V!�OCR 1 O�♦ -ATC O! BIR�N �� 1 LOU�'TY Gf CE�-Y � �51. •� o.._� ..• :be��er. 5,. 74 ,o°. ... x�"" "," ,,?.?abash .i v',i iecn w05!IT�L OP OTwCR INSi1TVT10.'1 - n�..i I�� noi �� [r��[ .c �[a��a[t �� � � c�r��pr [wl � • . _..ar`.�" w�,•, . ��.6?abash General Hospital �d"inpatient ; CIi1�E.�0IWnafCOVf.tR� •PRIEJ.IM1;�'CFU��.i�ED. ��'EO[$VJVIV�.��5�0'JSCI`�.�aaw��.�[.�r��r[I :�no�.,r.o. o vcaccn n..��..� e. Indiana 9. U.S.A. ,o married ,�[•:illia� H. Peach ,3,.Homemaker ,35.Own home 13c no ,� --- -. _ .� R'SIryE�CE arn[[� �no rvv..�a• NSIDECIT♦ COVni♦ Si�TE � ,.�. 426 id. 5th St. ,�o. �rit�. �Carmel �,= es Flabash � =.Y iae. ,�zIllinois FATHER-Y•AKE n.sr �.00�a �.s� vOiHER-MA/OfNN<61: ••.sr ...00�e i�ir � ,s. Charles McClellan B1 ssi � , �a. cu� 18. P;iRT 1. covoirrors,�r anr r.nrcH c�vE p�SE ro 11ta'OIa:E [cU$E Id 5(PilaG iNE U.uOEP- LVI':LC>USE L45T. �P:.RT II, orH=R=ii "rc �r-1� 20a. /.TTE"�'J!DiME �ECL�SCO lAOM: � .oa.u.,. o...... ZZd.SiG��:voE� � r•+�_ nno �oor+css n�. Dr. C. ,s. o e Byrns • �.�RE /, RE�..,o..�..,. ,..��,.�� .00AE�� �,,...... ..,Er�8�i3 - � :/ �<..,y�.�;�'_ „b.Hus. „�.426 W. 5th St�o;�Mt.� Carmel, I11. ` i DEATN wq5CAU5�D 3Y: " �c ir.b.v ONE c o •• •�•� .a+��.c. .(a1.ib1.. DICII' ,_ � i.v..coni�rec.osc o : ' .� .�_�.� (al ( i-� ^ �f'/ /�z L � . OVETO.pR.�5AC0!�SC'JVC CEP / I� • �— � 1 �b) (/i . /� ", ` / � 1 -_ .� '`� I �V[�.�.09 S�wCOVS'�pUE�EOf j t' I � -�-� l� I �_� f 4_wOV�I I5.[C�r�l z-a. 5urial �V\[pTLnpvE zsa. holder fJ.`�EPAL DI4/y) ",i/'�S� ?J�J. �.I iVe�j./ � �oc n � � Ec:s: a+>s sc � n�:.�o-oo,..<a..���-�._.� ...s.n...�:.a.m.oc..,sco�..c.�....�n� >�roos� .cs. 1 ( i. . � v�..,. .,�.�...��...� ��. ..:�'t-'l. �li--, t9, P.0 l79� ___ �ri.of.�csoro.c. .jo�^ "' " ". .._ _ . . ._. •nl o .�[��1 OVROf6E�iM z,� 5:00 a. „ _I�. / r� - ,- �....aA..,,,� 62863 -,�l.o,-ti�.�� �..y��. Jo ns, �114 ir1. 5th St. Mt. Carnel, I11: ZZ,_ 20084 YS��I�.YIIC:HC�iM1�.\CC�ITIf�EF I:�r�Ow�n�n�l . � NOTE: IF dft iYN�Y ::n51 .CO, V E p L\ : HIS pE iTY � TNS C��Otica t:+_ii ¢E ::OnF�EO. CSVCTCFYOwCw��afO�Y-f:.::..'C LO<�TIOY c��.owro�w st�r[ '��TE I�e�r..v��.�[�n� za5. i•iaw.�ee Ce�neter x�.D;•:ensville Indiana Z.:_Feb. 4, 1978 b�+�E ai��er..o.�.�.e�ow�.r.o. u�.o+ro..n s.��i � i�� Funeral Hone, 319 S. t�iain St. , 0:•rensviile, Indiana 47665 TVNE rv .rt J� iJ,,� ����� A ent sx. .�7-��.a��,.e,,..«.,..�_,., .rvwc / �,��E- `t_ o�rc ws<o. e. ioc�� w-crs:»w;..o.c.. w...u•� / / ��ca.l�/�1'���r i�/ � �'Y <�'� > � r i 7'b�— J/ �`-.�— / l 7 e lR2]JIREl.1/J8) IlLnmsbepart^ien:6fPubL&fleni:h�:ficeolVi:alRecords ' �..zECO.on�:s..nwi.occ+cv,,..n , �� I _ __"_""__'__'____"""__—_'__________—"'__' % t Y:i , . � f Y.Er1[3Y CERTIrY T.'-:AT ine iore oin is a:rue and correc� co S —"-' �'--;,-- — � 9 9 py oI f. e c'ec:6 rcmrd'.or 1-_ c�_cedenf r.c.=�ed et :.•em'3, � L J w' ' L J q� e J rr � enc' r. at :'nis'.�cor_ _.. _�:cSlis e.. and L� �n my o.vice in ocmr?ance wi:n :Se� .�visions�o� the Ilfinois s•atu.es. • ( �_aT� ��*-�_�L; /l ��---- s�c�zn--����'�_ � �-� . . �� .aT �''-�'� , Illinois. OFFICIALTITLE_ t'='��==°?^. --.r o - ..orL e! :. den:h ie p- r.czr.:lY `:r: �i:.`. : !LLi\'OI$ DF,7.�7'fE.`:T UF Pli9LIC H°_.aLTft e[ cpri-.`.IC. Cou.�cv <4ru �>L Icad :i.L.�: r ti _.- ' -_ . �re e�r :s^- ':o -nle cer.i':•.:io:x (:uT. :oiie� o'e:he or'.xinsl rr.o:d. :�e I:liaei. .:a:v.�; pro.-iLr :�e: :he c�:i`ca::an of n 2zvh -r_erd br the ._: .-..n: o! Pv:lic P..sILh er 4..z loc�i :<:ierur o: :F.e aovc:>' eer.. �SaII h: n.e `ecie e.i_�-ae in dl cou.-;a e-.'.�ylce<. o: `<:�.a tiareE� n��'w'.. YS 201A (1i57 revision) 3VP.E4�,J OF STaTI5TIC5 - I! LINJIi vcr'AF,iM.ENT OF PUd��C H�pLTH - SF�iNGFIELD