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Death Certificate - Phillips, Robert S_5/28/1993
� �� � �ca1 No. .QR487.6............ YPE/PRINT '• IN 'cRMANENT ` 3LACK INK :CEDENT �1 �RENTS cs,3-�-na � 3 -��� �! � �3�n�1 �,03 - oo�� bo3 -po56o 9� 3 � �p56 � so 3 -01149 . po3-dos�l OFFICAL COPY � . n MARION COUNTY HEALTH DEPARTMENT y� 3838 N RURAL ST. INDPLS. ZN 46205 CERTIFICATE CP DEATH SlateNo . ............................ wcu� scuwn wwu � w•u—uu e. IYwY Y[Mt� SFAVFD ♦USVEfEMMf VS.�fD-iQf1�[5 Yes WWII � I�GIrtY tuYE (Y �n Mmwat Pti w�N rM ivM�rl /%1£T/fo4/ST A%S, iaw.�s„ne �i.u..s�."vrv°�p..°�5� � o EN �x at&MNtt-st.te �m Cowtr Indiana Gibson �H. ze cox �a. ws,a utr i�.a �.. uma or O w j(J v.. vm�T CWn 11F ON � IIJWI W O Yo Il f�iMP'fi NuR Vrit AIW�, WO :FORMANT I �" ��� "'� � ]la 1.rtTh00qp5PO511qN D [nanbe�r�l ' ww O G.� ❑ a.m,.�i�„�wi. ❑ oo�.ao� ❑ w�. csn«i� �SPOSITION =�• �^+�^'8� ;USE OF EATH �53`� :ERTIFIER a�cn..rvR y S. Phillips 0 �r Se UHDEN i vE�A k W+i �w.e� ar. na.. hG'iNi1L• p6Wtlai1'I.• !f O [R a�urn ( iT� c.. � IL O�E ' .Miller Ga Ix GTM. TOw�1 011 LOCATqN z6bc o.mnEOrourn 1e.0�iE0�DE�iniu.wanni �LE >:sZ P„ J'��y i.�� 199Z � Dev D E 0/ OUITn lua OrY. nl 1. OiMinV��CE ICry ✓�a A.n s/r�pn Co �""' —06 — 2/ Pike Co., Indiana 9� GL�CEO�OC�ir�IGmc�rWO�vSw.vw�wvl � ornEa O Mur��np Man. O an.i tsc.��,) �o, ❑ w.b.•.. fe. GTY. TOwN.ONIOC�iqH OF DE�in PC. COUn'tr 0� D[sin o /.swf! PUL /S i'Y! /�-2 / O,J +TSVSU�LOCCVO�Tipr�t6nM.yy.art IipKw00�BU5w[SSNiWitnr y T�. d-«w r. c. w w. ,.e..n Service Distributor ' �]a. SiI1LET �ND MJUO[A 722 Hi hland Jrive �4W�$D[GFDFNiOFwSO�en�pnf.M �I.n�GE-�T�t�n✓�w�n A7 we O r.. a n..o.cry Cw.n a.ai vm�.. N�. W�s�n Nwna 11c�n wsl - t5ps/�! Ip. MOiMEFS NAME Viq MqWt A4qm SviwnN �. �eee�t�� s eoue�nor+ �SO.<4 wr ^w�..� n.a. ve++d.�.n '�/s.cew�qco.�D Ca.o.��.•ws ros wawc �DOn[ss �A.w..aMnw« an.✓�w. mnw«. cq w re.n wi.. zv coa.� I 1x. n.uiw.no 2�aD�TE,wORACJULSPol'6pi Wl7y[•mnry.a.�nnr�.a aMr p�u) Y Montgomery Cemetery zmcw.wcn�suc�,scrro. � tx�u� FD01001675 "° f�sUGF++5EM1WfN 15 N�uE�DDPES cdu�..�«� Ldmb—Bds� E. Sl i��i l 1 I Fnr iM pw�wa M�Ma w<anOk�uw M uvW m� M�in Do ra �na wui�e�k ���ma rve� �� w W� w e��o+��ay JV nntMxkaM✓tlMV�l�wplYw�wn�enNtAY� m.[nurcuuuvw'S�J9. _ /ht�''R�St/J-7�L C�oc.o-�/ (+� a""' a�O"��0^ , W[ TO f0a A4 A CONSEOUENGE OR """'0"ai0'' METASTATIC COLON CANCER s CenWValry..tiknpM OVCIOIMhlACONS[QyWCEOR eb� b Yv �n.n0�n� uwa � ���� OVE T01011 AS � COHSEpVENCE OR uw� Yr • 6 ' YMTIQIr�y�l�cr�w�iyiy.prpqnsyvpNpqp�ynpp�.qW�p�MnY�nL t��y��qpECEOENT INM�SI�N�UTO>SY 10e.�+'[K�VtOOSr�wWHGS VR[ULNT OII p D�Y$ VFRfO � �v�0.�Bl[ V0.'ON i0 POSTV�N�nW( lYO � COU0.Eipn O� C�` tYN or� OlDUiMIYOO roV �{�.fATfIFA ('.EflTYYP1Q RIY$K'.IAN TO /� 4��1 N�Y �V~ OMP OCt1/r W�1 M O'M. WI�. �IW WtA MK M K M N�N(�1 �� N1M IGrr� my yW � EnlTNOIiICEA P�P�bYM�aM'YVYp1�Mtl/OMV��MV+�IMF�nYtV'�N1tl10tCV�W�lOMM1M.WIL4kWt4WM�ON�U���(�I��Mr6 � COROMEN On tly b4� M��✓NVCm �n0/p 1w��Jp�Yn h m� op+�on O�W� occvrt�0 n W bm.On�. ✓-0 W[r. utl dn to N� [�v�rf�I �w �ul+r �� n��K. t00.SG�AMEAWTRlqCEATVEp Jic�.�EpC�Il�CW5EN0. �ia.D�t[S�G JIM O.r.rr..l „_:.. „ .�,�, /_ .�l ' ' �L �� ,� -�l"_ %'�_ 1ic IOG�tiON_�ry y io-n S�ar Oa:ciand City, Indiana XCVOPi[D TO COPONERI ❑ Yu � uSFI+Vw9EA�<<'NF�t�O�E �emoria_ Cnace_,-:nc. ington,St. F'r.80035312 v, Ind:ana 57660 •w�e.+.n. u..n�i e.�...n o.+..� �m o..N ih � rrT! < w.wwtiwo�oacaeqvwa+wnotouruTCOCwataournarcuni�r�v.iw.,o .MBLK NamiltOn,�M.11. � - a �r�,� o E..m �,-✓ S� � ��.sfl � o��s _�.1�� :A:TH 7LMxinanGU531Ci,�ruN[ '�� . �i.o�r[r.tp�uo-w'�.�.r«n �FF�c� �'• JUCiY �ig Z' 3i MuM110/ OGTX ' 1Y DAiE OI wJU11Y Ht TIM[ d )K P1 �T WON(1 N6 OESCRO( MO HJUMY OCCVMCD � .. NbN Oy. YM NNM lY�� or no) � � ❑ HrvM ❑ P�nJ.q . . . , ❑ ��, YMqI+�� �ORONEfl N1. N..�CE q NJUIIV�iy Ipy ly� pµ Iswry.cMR� ' NL IOC�i10H ($vM �rA wMr tl R✓Y Ibn� Nwrs�r. Cy r iown SYI�I ❑ SrcW 0 CeJO �a b , AN�p w ISeM�1 . . . �SE ONLY � � �«� . . ,NCWT[M�OHOUNCLDDFA04b'NDiY.YM NnMOTWV[1YCll�CC�O(Nitl✓r�dro! Yyh�pchinr.Y�.rV�.OM��v.nwc i t ! .. I 1 �'��� � , MAY 2 8 19°3 � �, �pUD T0� :"'", 914078 '? ,. �;;,; ,-;,,.. _ ; ,,,. .,-; -,,,.i - - . , ;,. -, : ;;.,,,�_; = ;--• � — --, - , ,,, . :- —, .,, � _= - ,: L�ca Q-�� �%--- - — -