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Death Certificate - Pendergrass, Presley Wade_9/9/1988- - - -------------...._... U_V �-i � _ I��NA STATE BOARD OF FiEALTH • : .:. .... . .. .. . _ � -...... . No : ..:....:..:.I.��.. ....... - CERTIF�CATE Of DEATH StateNo. ............................ xt;useo�u[ r�k5r wootF t�s* PRESLEY WADE PE\DERGRASS p. �' �ry��L�nOrW�Y u��.UNOED;E>fl '�/X UYD4R�;<V p; � � vE/.P LnSi SEqvED N . D� 0.RCE 0� GEain (�roi US �wED vOtKES+ . � ] SEi ) Dn1C0/�fs,n(u.n„r,� M Aug.24, 1988 IP1X144rM1� ) BIPi!61GCCIUY/b5��nn/✓�tinCwiY /1934 Sc.u�tsboro, Alabama -� ' HOSAi<l Li-Mwwr OiHEN ❑ ER/0.0�wn ❑ D01 —❑ Nv�^0 Mem� n a��a�M. ❑ 0:..• ISC�[/yl {ACCI}YlM16NEI/Klni4�Lt}���bMIWA/1�M1 4c CIfY.fO'h'A.ORIOC<PON01pEi1M . pa �Qpy�IOfDI�IN Deaconess Hospftai Evansville Vanderburgh MNtl1�tSleil,5-�J�.ryp ii.SU�'•TN�GS>OCSE i:� DECE�Et�i5U5V>I OCCUVpiipe iID nv�D 0/ BUSO:G55i.NW5tu+ r:..� uu.w. weo+.a '/ .�.. vw mw.+�wn� tG�. iro er -a: mn. a..ro mo:� d..a.:..p ✓. �"��f`Y�'d` Paula Belcher C81i'�'ge'F�rof�ssor Education _:�PESDWCE-ST1iE IJp COtY:TY IY C�TV.tOwrv.0illOCnilpr+ Ila SiPE!inHD.eNUBCn IS.fPRM ' IJpZ1iC0�E H.W�SCECEDENiOFM15V�NICOPofy:) ' • _ I. IS.Ma/yNOwYn.YYU.ia«/yCK�n u._. _ .V� .. /. Vs:.•y.:P_.ccfh�::c: �^.�iia ❑Y �'��:::!j! I.. .. I i�vv I Sa�Ny . u 1 fAiMfASN ' i5 �uCE-<m.rc�nuqun B ct wN.. �rc TW�LGC 16 LECEIXNi5E0VCai10N ISp'eIr anr M1pYae P�d �wp'�i�O C1�+lYJI/S�COM✓Y IJ.1 }I I L,��II.1 y.� I v 1Y[IFv�(4N4.(�p' Ip.MOiXEfl$N4AIE(fi�t4�rAlw�n$✓runvl o o Theodor�e R. Pendergrass I Elsie Barclay T+ 'J pi..WFOAi.I/.YT$NnME(TY /RM 190 N W 40 RE$ 4� WNVnn.. ✓flot�f .CtY Goanl 10< `� � Paula.Pen�ergrass 7�3� �7.�'o��C �r.,ba�C�and ��ty,li�`�i�/��6� "fv4ife F+ �NEiMODOiDL500yilOM1':." 10p D�i H O G C n !+ O 7 O ti � '' r n rt r• � I � E AYO oL1CF Of p5�O51i1ON W�m� o/ umr�ny. <rv'abY. w ]OC LOC�IIOn-GV a to�n Surt ❑&rW..�.OG«rw�m �.IY.ro.JlromSm. ^�'�'��1 ❑�,,,;�;:,: po,,,,,,s„�;,, Memorial Hill Cemetery-Aug. 2°,'8 Dothan, Ala. 1i iV3F OF FUrvE34t ptE�ipl � ' tie liCErvSE MI�iBE� 1} HquE cppnE55. �.v0 tiCEnSE r�u+�9EA O� �UVEU�t nOVE '� _ � � �dc.�.�,..� Corn Mortuary Inc. Oakland City,IN �, FDE1005271 323N.Pfain,P.O.Box278,47660 (FDH3005306 c iw....�.:v.�,.y � _ xH Teu�.e..d� ��o-*.a��.aw.�o«�.�wnw�,,..aw...�aa.�..�,.a rw tiCC::__.r1u0ER >x �w1E5�b+ED y +MC✓MY�"CMYU[un��' Y . W�v W W�1 W M CrN: . . (u�N Dil. Yril 9 m cvMV t.w. d a.m:<.' . yy,n.. Ne rd. G � � ]liWFOFpUiX `: IS D�(fGeON'JUn�fDDEPDIMOVnpry.Yw) �y �xYC�{/ }6 WASfP$[!Y•FfY1[D:O4EDICAIE%AMVIWCOnOrJ[fl+ � � � Z ' � / CJ (/ fr�.aro1 ^ � U N]]. O�qi l.�' � Ltr tlr�e�ww� M✓� d<a�a+�.m�. v,i u�...a N. a«:n oo �a .�... m. moa. de/.Jw� .���n .. �.,a,.� «,..w..n.r .po,....�. �+7' :..::.�:.....rr�aroctbrwnbv�UnmNa�u «n�n i'/ w.,..iBn�..n n,� . .� : . � .. .� . . . P+.u�mDun � iu�EOantE CeuS[ tflw ' ew..aaxcm'. . � . rm�pbeuY]'.: ' OUE ' P15♦ Oil . � � � /� � s.awamr �r co�aueK e ��i WY�'W 7-<iJ .0 °�^..w^ce�, . oucroroA�cavsEO �c[or� u�M.F+tvVNDEPLYNC.. - O G.USE @�w�� n `y.Y c. "% er mu�w �vw' WE :O (OP a5 4 CO':SEpVFNLE OF) � .w.qne.n+�u5r Z � Vaqi Y o-�M tuy�I�[�r! <o'tl�M� [IX4nP.✓ � IOO��N dn+p re�uMUV� in q� �yywl�yr� [�u�� pnsn v. i�r�l :�f Vli$ Ali GV:00$'I :flp wCf�I 4U1"iO$� fYiO1M1L5 y`� � � � �. ��-{.— HWOP�'IO� q':�IltBl:'W�J%.Ip n �„�j,.��..- /-� �/V- l t+e.nro� COUttEtq�•O�C<�iSE . ��'�f=a� � v�l / OiDfn:v�l"nnm� / / v� :i� CEP➢qE3 . PiIFVL•:GP9VSICIGNlh� pun[m ILMI mY . r� ���Y^C cwv d G.m .tun v+en.., o-'r.<un ra� wawe<a or.e..ro ao+wb�m ae�^ IT p.,�l To ar w� d mv �ro.hc;.. e.nn occvrw aw �o w u��r(�1 w m�mr ...�.ire __.__..__..._.._..__.._._.._....___....._...____.__..____. ,. ..._....._._'__._'___._..__..,...._.........._.._..._......_.._.. GM10HWr+C�'+GSnOCERT�fTllGVnY9C1<v:T .......__._....___ ....__._.___... . Y�CW hM YWUAfn� Wt1 ✓W [M1 �V [�ut� % Oe� W *o w wa N mr �«MMa e..n acv�.a n ev xa. an� va Wc.. uw au. u c+. �w�.t�l r� m.nv: �. �i.iw ...____...._..._".._._..._"_'....._........__. _...._.._.._._...__._ ................""'..____.._._._....._._.._...__.__._._.__....__._.............._......_.._._...,_._.... ❑ NEDiCAL IX4M.vER ❑ COAOe+Efl � MEC�iM O�fiCEN P+Oy Y.i. d..�m�v�on wa/v rn.uYm'� n n� � na� b�C oc[vr�o � c. um�. en...W d.<...na e�� �o ev c�v.•I�I .�a nun+.. �. �.nw Me $IGY�tUfS'vDiI:�CEPiI . N111[ AIiO ApLY¢ 5 pF i[q$ON / ��. �„ ,� �,�a_`� :�� a I v / � � u � Fn of DE�tn tlT ^� WNJ ❑ �wMrv,� , � ❑ �ccu.+ ' •r.ti.m� ❑ S�cw ❑ Co.b w a n.�m, o...�...a OE�iNUiE4 })IITyp�9.q1 ).. Da;E OF wJV.rv I Jb iiuE Oi I+wn Orr. vw� wNHy J�c WJUPV �{ WpRKI t rn r ml )4 RACEO�aN6'�-�INn�.I✓q�rc�Nlqvy,eM�• w�e+q �c t5��.� t4s l�Cf�+SEn'U4B[P )ae p�i[ -'� IJ ,� =�£' S�%7�U ��e D[SCPoeE MR Oq. vwl /- r� - l: O> I F ir.ED luyN Ory. ✓u.l AUG 3 0 198t� OCCVw+EO ]u lOC4: �O'� �So..� ..e uv�. n 4i.� u,.n. v.rr.. f... -. +c -n 5�.�.� , � �. .. � �E. i i P �