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Death Certificate - Phillips, George E_4/25/2002-. - ISSUED BY MARION COUNTY HEALTH DEPARTMENT �_' : -. � ! • ATTENTION ESTA7E: Ducbiuri o( Il�� SSIw� n�sd to punu� ac respomlblllUas .... �� bvWuMaryaMlMnMilbmpanalrylor � -. _' : nm.+i.•, -. . ; INDIANA ,$TATE DEPARTMENT OF .HEALTH _. .. ...._ Lowl No..........:. CERTIFICATE OF DEATH State No .........................:. .. - . -��2J`-OS. ' .' ... . . ' THC RECORDS W iH15 SERlES ME CANFIDEHTIAL PER IC i&t, t&] ' ' " " "' ' ' ' - ' - � � � � � TYPFIPRINT +.xcweo-ru�e �.armw.u.o x.�.z v.nweorocnTM ar�repourrywqo.r.nJ PERNIANENT Geo: e E. �Phiili s Male � 5:12 ?M. March 20, 2002 � BIACKINK �.��� u.e..nue�waceai Hpsvrt,� 0 tqwm onrta0wrm�aa �ocw (sa.�) NO tv/� e oo,, wu.�-. DECEDEM Z O � 'J �PARENTS Z ��FOR\MMT % /: Z 1]. 1MRISII STAT6 Il. RFMM1W Siq.SE (Sxct19 a.n.o'..n.u.nn.n. t�]arr_ed ?h llis Mc illem tH.1�&'JEACE�OTAI£ �b CIXNtt It]c CT'.TOIMCN ?ndiana Gibsor. Coun iv.a.coa +�i,msn¢cmuurta i �cmz:NOF ❑ No 0 Yu ���� fW.On�FMwi .. 97660 � No vee USA� 11. fAiMEit5NA4E ry�wwt�m �VfOHi.unT'SeuuE lTNfl�/1 }f�.YEMC/JC�pSOO51TIIX: �Gtx.Yem:l �BUW QU�mRIm ❑0.azvYt .SUb ❑�•� ❑�rs,.mn 1L. EW�WfRStiME Jer: Lee Bzsha:c �Ind:anapolis OEC�EtT9 U91LL CCCJY.�TNJNf'+M CV dvo'R mrememora.ou�en. oomm,.o.a) I.L1BE:1 Marion �L WIDOFBtAINE54tlOVSTPY JECEDEHLMNSPANICCPoGIM ie. w.�--� �.n ». ��u+�=���ti� �HO ❑vq Nnt.awhcw. e•aa�xa...c (swY�r�-Gti+v��w«9 ur.utwrron<+t�rcJ ��� [rewaMS�ma.�YR�A �'.�1+�«e.) White � 12� V/A ]oo.N.�LWCh�DnExfsnrwr�snu>rtv.�FlVnMncs�.ChaTe.nsn�.=VCm./ eCC.IN�e� 219 l9. E'_m 5�., Oakland Cic��, IK� 57660 Wifi 31C. WiEM'DPUCEOFp5�0.S(i1pIFVYrvelt�mx✓Y.vr:a'M'.> 31c LOC�TqX.Gryaiwn9�1� esu oasl Na:ch 24, 2002 -:=co:;:er Ce:ceterv Oaklarc }."� E�@A'JI�TS LCQ3! 1i0. 31 M'ilt '[ETTI REVJ4TEO TO CCNGi�iEFt �Ka ❑Yu FDO :Oi6589 Z x�..sa�ur rrumu�wnec.on xm.«�zexu�n zs.r:.we.rm�ss.u:oucwcr_�.or....�..�,.�,... ` �atsx..me� Lamb-easr.aia r.emriai Cha�e1 x'h830053i2 � � FDO 1016589 22o E. uashinqcon,0aklanC C'_ty,india:a - �:i :a e..n � Lr traue.x�.NoFVwm�v�c+uor.nu:..auaGe.u.Oo.aenwmnwa4i.. a.w�sr+7,.cor�.uT� !N^�M. � N C�. OIMI(1.'Y\I�. lA1 ]M/ R.� fJVN 091�N IM. I��w� ���� `-' �M�vIC�LL1 �� �,,,��,�u��� � �fvDaf�nsl'.� ot s�ock � a�a�rw¢�m 6 �// T �O`R/�jAI' ET�]�Ay F ��y/ / �//� /(}� (YN:IIY:iifICBO:h) Y ph�I �GV �� I /11I11 YI � �V �// -��-CAUSE OF o. �DEATH <ttOYOea.11�q.�vrJ�WV� IX1ETOpPA4ACON5EalEN,/C�EOi): ♦� ( p (//, N�bIM'm�lul�uw -�nrnh a r�/ Pi� t-Pr f D�3GQJL !� a�LL.v�coMq � q,EiO(ONl4A S�OUEN<EOiI: �r • 'Z !X IlL . . . . . d v � PMiP OP+/�Im4�[ImCU'n�-CmCOS� 4�LykC�2�WMLnrbvClqYtlnV�'ll }I.WASCECECEM M.WASAIiMROFSY � Co d 01 P�S �'% ✓t N�G r t �q! �UYQ °RE' a+ca o..vs ovvonu�� we'9�j' fYeswrol " / �/ n"f`� � ZI Vi tdo NEPE I.UfM6Y F W%VGS /.VNLV1[PFqRTO CONFLETION OF CAUSE ofDE.�TIn (Yetarol $L. CEaiflEi � �[,iYj py� Q CE4i1fYN+?l11�SICV.4 Tp TXClCSi O! MY KNOWl6G[, OE/�iX pCCURRm �T T�[ TIML.O�TC. M'D PLACC. /.MD OUC 10 TH6 GUSRSI IJ SiATCO. ///��� ��� ❑ MEItTI OiGF�P ON TIC YU' 9 Of CiANIN�TION /J1G'OI� IX StILA'qM. IN M OV WION. OFAT1 OCCUPflED /.T TMG iIYC. OATC. /J�O �l/iE. Y'O OV C iO �M `! CCR(#.£1 OM iNE Y�519 O� CIUVItUiqN Y1NON INKSTILAiqM. W MV OYIHION. DCATN CCCIMRm �T TMS TIVC. O/�TL. /JiOIV�CC.1F� OYC TO SMC Ul v Y.a N'JAIT4AIJAiI:IECfCFRTIf1E2 YJC Y�AJLl10EA5EN0. `DLOA:ESKN�J ZOOZ 1? ��.,,x� .t, h ! loo B4'� 1 b ��l `"� �CERTIFIER �� ti N �41R:lOMJRES60FPEASONV.t _ �BO::dan !6o:doveant = �i. �x-HOmcurcwcru.tm_ C}1:ALTH ZOFFICER /� " f). WJINFAC/DEATI Z — ". ❑wtv+ ❑P��tlrq � . a m.�e::�uoa �finen � . ❑SWl� ❑GeW:r�te ' e � �„� Mmme] C _ _ >V. N.TE VqONpA�Cm�E.V (MSq ti `— ! • :n � — � .. . Marc:i�.20;.�2002 '^ - v � cwwi[��o uLSe w ou:n prcu syrro.�»�r� �/7 P.O. c 136i8 �Ir.dianaoo] Y�.OATEOfI N6TNEOF )K11 NYATWOflI(l 34.OE5� lw+nw�. .vl wunr f�'eavml . r.. xKE of wwmr — u Mme. te�m. Yrael IstlM'. �u w. lou,Tan (vr bilCi�p, a¢. f50w]1. . �Fr. . � .,a.�vn..�aw..nv�e.. aro-rc+n sv.� i 1. I