Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Death Certificate - Perkins, Lillian Hazel_3/17/2009
� �' v: { t'�'� �+s 1, �� �''t ; �� `�a -r e i � 44�} `� �' vE: �,a } '�"SC�'+ •-,� S -t, x; �_..s i�. �' # f. .; �"i C�+'�,ri,�+^=? i » i �Y'i f`" r 6 i,� t^+rt ,� E C �;�' ,r t�:;�i' i, f a i 3 E g 'k . � Tsr;,�`, �' 4 a' �".' q.i�"3,�,,y, "'}�'�;'y� y �` � "' 4" k � r�r�`�. Wx ,�o .. _ J"�YL a "'�+ ati,�."i.. i v N 't2' `� ? �' t;f, r' r � 1n ' ' A �'G �i ;{ ��%., °' ' �� �-�W��� -'�` s'�DIANA STATE DEPARTMENT OF "�TH� � � ;- � � -�� � � r . � ^ `�'' ��* � '`F'J' ,'�" , ��{�"� } �' � "`CERTIFICATE OF DEATH �'' `' � '^��r 'Z'" ` �" ` i�.� .� �6J 4t.`.;'''4' S'"��.FC,U, .. ep � j... "^. .. 7° r-,�+r.E' ' �.-� � r^'f Y r�� 1.6,*��,C f �i 3 t+t �. ..t r t -•• �.. �' �� � �` 1 �' Y b yf �4 ��'�. ,t�„`\ . 'i. x _4 .i"�.- � �f a �;yf�'ti�.' S ie No .. �. �`�°..� ..�: t..t! �} � y�� me . � 1Local No �.. ... -�, .i .s '� i _ .�{ ,�� .j � j3 m.ff ��aual ._ �,(� i � � �. u.ami.aumeNF�.x) .�s�t{ xsu -- a� r �a�eun y.�or�a�ia.nanyyrc 1Fp y�y jr t � +LILLIAN HAZEL�PERKINS� .. .�� � � . ';'C 1.,� . � �CLARK� �. F, j`�r1 ' �?, t F:y �sv;9 9 25 AMt� �EBRUARY 1 �2009t �I� '�, .�..d�:' �.�. . i,3 . aL -w�ac 1' . ' �,�F ?..�. �.� ..r '. al _.. _ r .- ?�`rss { R�. ` � c ��`_-.' T_ _ e-=�. ('S_ - - �� �� I 6i � a -S /S '- �4 � �= I` -_ _ -' �``i � -- B N45PCnMF01Ce+T 10Y0ea410ViYA01aAFbry'ffi � ( 1--_ fO�YOeaC�Gla�rteESm atQlmTytAlWpiN. ` }- k -y J��� �i.°�' � li'= x �.� -` �7 - '"' 3 fw ., ,�� � j-� ❑Hns:<eFaZJOUrede�sWrc��'uvngWnefonq � ❑��Yes �No-Un!noxn❑ ❑kaz5e^tO.�'uc�roerarre�t0u7awa�oraaonnrma�' C-? }-� - i �- F^ _ '�;, �{,,[ t � r t.>�� <.% �'w=• �.? �� .TJ \- _ `w.� 7"'yCaeFafi O0�"w(�euYl� 4 � � _ *.: � 'G.�.� � i% �✓+.~..11.Fi0.YNxrcPNdVVt�"1WvtSUMAMN:SCj . . , • . - 1' 4; '-FRANKLIN UNITED METHODIST COMMUNIiY - � - � . ' ' Y.� fizohannsr �nazocm. �.-f ,�}�' i 4 r�.,�''-..., 1�u.rm..erao.� �,- � , u.n+,masr. urr<aor� .� . �. a f" �FRAN.IKLI y � ,� . �'.>� � . ] } f �. f - � , �JOHNSON � : t .� i 'i � .�.. ❑1Aa�ea Q�tir�ie4euSeWi O�i.<rs� � Y . s�, -L��F �_.z , '� .:y� t. .,a � . �f ` /�_�% a .� ti � 7 � �, F°: � m�nm.m ork:gi,a,pe•ou4no`..r�.._, �. = IS: Suvn+qSWn�eName . .y�J •. t ua_ pwxelen+riaem�.sn... . :e_ o.x..w'suwaaaw'.,a+ � .». Tinevewanwcusy . - w Y' � . .: �- . . _ . `._�y�, ;NONE �-. � � - ' . � � �- NONE , � HOMEMAKER DOMESTIC . �x - �e Aeaasa s�ce y-�y �ea.GOUeY f�--- -, y �'� ,�'S � 4 lr =_- } a�' � . [ � �__ '� _ - INDIANA '` ��. � L f � JOHNSON t - � f _; � FRANKLIN �( . � = i � ; tS�l �- °a t_1 i f � —,� - 1 t .--°� rl �_., .5-. 1 _ 1 �- ; l� s , t�-. ��� � ` i�,. t � MON�r.' `y�J. 4_� � � V�.� ` � _—�.-� 4� i� �.J ��y_A0.rv 1 _ � tk LOLOCe� Y `_ -._ } -�+" � � � � J 4. � '1070 WEST�JEFFERSON STREET . � � 46131 � - °� ��"" � �ia. o.ma�vYrxw�.im . � � . n. oeeeawa�+KOnm xi. o«:aw�.n,r< . ' ' r, _Y . a a .High school qraduate or GED completeA � No not Spanish/H pantULatino ��� Whtte j; , t. � s� " � € t..5�-: t.�l / L 7 i 1 �a'-' � '.. t ' � a- f �' � . � ; i � ;' 13. Falfs WAS lFnl WYIC taTJ i:. . I i .< i / U V6Yfs H I�. NxH',e 119I \ yP;F4'Ya�' �` �-;5-i. �l�� J.. .. li.,V � Y.� i'-l3 �_. " Z�t! �4v`: .�h�,' '^�"� "ANDREIN,CLARK - � � - � �' t ti ' �"' �/ ls . AMTTIE�CLARK i � . ANSTAOTy � ?,>`i / 91 �"� _ . . a.: L . . .� .. ti: J . . - �_, t,1, ' . . :� . >.}. ` _ �. . ,o�o . . . v � . r. .e. � �� N:�GENEPERKINS - �� - SON�- 15210EMAREEROADGREENWOOD,INDIANA4616J - . �� � (.�.`�: �6�1_t . .�+'�" '��= "�-� y ��..` - ,�-_%'.25. Pla'mOfGsposam { t � - � _ -_ i uraman?v�'� �} un nawaoew±�ua�(Naneac.mnm �+e�w an.wa>_ sse wo�m ar.Twn.unmi i ��-+4 ` - s�r 1 � arai OGa:avr � !. � = 1 v..• � ._ j � _. - r _.. t - � - � - : t � - _ z'.;�Dmi�nOFsbmNwvORCm�lFUrSae MEMORIALPARKCEMEfERY z�-� i.� �_ �VINCENNES,INDIANA � � � __ - „�' 'j� ❑ Rbl�lk�• _ _ — " �' c3l: Waf GmvCOw�oeC} .. II. NamMC W.ykteMa.m0lFU�enlF�o`]Y •.� . 3]a. Fwna�v:eUrmvNmiEe� � j� i 03es` �r.�.,,� SWART2 FAMILY�COMMUNIN MORTUARY 8 MEMOf IA�L CTR 300 S MORTON S�Ti, FRANKLIN IN 46131 � FH 70700033 -_,! n - Rv nns�¢ueawian.FU:ryServeeurev«. 1 . . . . . . -1 � � ' � 1 . `n�_ � nu-.avlaucersee). �. . ''� 3� i� r�`` �y;:=;f' �3 � t � �3 Sca."�` .Ei ISw4hn`.z .' � I s, �FOOas000sa �' ' �1. . . � ;. .�7 -+.t'�. . . _ _ _. ,� ..� .' . ,� . ..- : . . . . _ . _ ' .. . . _ , Guse 0/ DaMI� (Sw InsWClions MA Eumplea)" ,. T•28. �P . Entm TTa f.t�am Of Ewrns--Diseates, 4{uries; Or Compfimtiwuf-That OvaRly Causetl Tha Deat2 Do Na EMer Te'm'vial Evamz . qpprodmata �; Sutli Af Cartluc Mes4 R°s7z�eY Mast Or VerttnaAar FibOation WVnut 5lawinC Tt�e Eliolo9Y. Do Nd Aebeviate. E�ker OM' One Ca�u On - - � 4kvlvaC Onxt �. A LiM ACC Atl64oral L'ers C Necessary _ To Oeath �I�a e Cause (FUW UsraxtOr �Gm Rawl� o�u, � � a f f {��' ��'�-;%t_,.c�i � �I�- L� � }�-�-� ,�� (� c �o - - r�i " .c S /. 3� I z i � i -_-a 4 --p 'L �" W f�'Y Carve W- - -y} //-- �4E : �J�� 1�/,.' � J I � i e \�_=c l l � � �i �,.� t ��f .- � �� _ � _-`<Ft ¢ ._''a� - Sapuen;ia�y�slCwiCi•vonslfMyLeaGrpTO7t�aCauseListedOn �_�:_ � e�ou. -- - � - Sr � liro A Eraer T» Untl�+lri'iB Causa (0isease Or 4M�' Thaz lew.ia:ea � ' ' .. . . _ •� The E'ver�s Revd(ug N D�'h) LaC � C � � ' . . . - . ser.v.. m..w��ar . . r-, �, t � i' . � 1 �i �' i f . •, p ... ' �-� � . � .-' r 1 � �S + ^ �}3 cv.n¢�em aen .e Mc e_.,.,.r De.�B6HaRevtViqNTM1YEV'Y�OG�YeGirenNPNI � � ``� pYes � bt . !.'- j'`t �1 ����� f`F„l��f w'�'.2�; � ��, �i � LJ. r f � � ,� �; � � � �� j �t,.. �k � ❑res.��noy �,.. ..Y I. �^ / 1 1 '.. � .l i :. J L , r _i _ �_ �. . - av�aarom�us.eaennaereown. ss nsmwc �- . . -, , � - • � . v: wmraoeex � . . . .. '7:,�Orso?r.tyhOw�ul �raPqa+vxalnAUrroMV+yMr aMOnaHw�*taiTVi+w�napinaDSi �krsaolr.:�omm�OPo-GSkw�L� il � IbPysl9tRqstaM+T1Y BN�M OtMi�LReG�WL'ETeP�tlT ❑Sm0(blCNd40e�s`a P]� pc p NN�Y� �IYwI y ?5 i q Wu�l � t ]6 � OI YMY (EG DaeOeN H La�vnCm St . RmaA�4 WooCe] Nwl - 9] �R+Y N\lbrki �� _ f,,{{/� � T'{} f//�` � 1 r !yf � � � i' ' / 1 -� � ' L. 1 � � t a s ' a i�. s 4 � i" � � =-�i _ .,.'`l �� q � � i� y _ JO.0 tmO1WeY-S�u� `.' e]N.G[YO�T ' � i .�•391SLMtns�M r =_ .9ECA0.N..� �G ¢ �w� . :=;� �.� _ � c� w7 � � _ . � c�. �,� L ; � •v .:.� i� _-_ � _ _� ,-.��-.�� _ :, ; : y �roewiosi+a.Wwos.�.a � �.. � _ � - • � a.IfTransP�lronlnYUry Spealy _ •' � -'�. %"r4:'.. "�:.. .s1FZ�' � .��. �1:.j�t. . ���" �� � ?. ,� .r... . ..:- .t �.'�_-._.,; ,�. t �„ �' -r : o � O P�dc- O ans • 4"` '�4 :. ' Y• � 'R � �. � t--.� � �'.� � �. � . . % =i .'? �.2 is.-5.arluMONlQp) . '. f 'u` , �* ' .. �__rj � L.':' a l r� S� 1. 5 . _ �� b� � t ��Y�ypRa-� O Caar ��1eaT�(kEOC � � i� l.: �{. �_ �jx;"�<ii -�, �•�,'�,a.�� .l�1 � . , 5...� ..:+'.' r!f � �'. OiP°(LOC2(G.�.yCdlfSEOI�BdN . . . � . M lY<�WNUm'.�s �S�.QfRC�mud �NCE;I� ,M D. tOdNORTH MAIN STREET FRANKLIN, INDIANA 46131; = 0:/0 3 0 c� 3 J'_a2 � 3 t0, �< f ,�-= ti Ll r r `—' .:� �... = V ,, � :c ;�t; _��r'-�, i a�_�_� ��{' :£ � , =f [ � _� �.s�� : r rr�_� : �_�� {-�:� {R � � � � +� .,}« a9 FaR�P�darOn -OauReElblweNDSY/le -- `V � �� ���+ J � �_ 4-1 Y �' � �� Y Yv. = �...> M �-'� ±.> >- t V ^� ' Y^.F° � f�M1��v. � .^' .. ; �� I � �� _ AYFIflESN9'Y�W4 �� N P�l blYl��Ftv�Y�Y1v� wYVIti TM ti�l1Q1EiYYOf TOiEI@E OYIGfMi1LL�E11S{A) 0 c �Yi•�i .r� �.yi ��. �.i � r �'Z ,' � :�f�T�-.���� j 1 - �i> C��` v l � ''� �N,+�� u�e `'� 1 f R�� y ,, � ' a., > ��'.�� .�p� t��a'�,- ti Y � ,.� 3�' �' °,, i r�, �?` �� �� �� . _�� � f ,, � �ay. ,i �l ��i 4 }' ��# .� ..�,"� � -.T.e.i i i �i, i � � i ;�"+..-sr� . ' , 4 t .:t t � �•"' S� � s�� : '�..-�.1. ._h ,1�. _-' _ �C r :�.1�. _.7�-. t _J.: �:: '.! -.�7`+,���