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Death Certificate - Romershausen, Kenneth_6/9/1987� . � � ���� FjO�� '. . �' INDIANA�S'l`A'P1: ROARI) OI� I�IGAL'l'1�1 y � n x -------^ - - .- s:���� � '.M �'OpM , - . , � p�y�q � z o�y � �-������ ��� �.70 MEllICAL CER'1'll� ICA'1'I� Ol� DL.A'1'II n��. � ' �tl . UI Y U) y W . �rre oeee.sco-..Me �..v - � ..s� st, on�[ w oe.���...�.�, o...�..� •' � � x K oa oNix� ' ..�oo,� .. . � ni "� n >��M����� ' %C nn9.th— `'..—RO ERSHAUSEN :.._,'.—ma e— ° May_21.,.1.4.8-7 •- � �� �ox �uco-�.. "�•,�••^ M��. o..s ��o„��� r o�n ni nuni� coani. or ocnm d y�� : wn ,.,,��. n.., n nat-i.,i.���„�.. onnrn i rrnn unorn � n �• ; �......�.��.�..��,.� �.,�� -, -� x x y : ��s�a����o�s , whi.t.e s• ,�, ; 5, � �, Suly 3.,1-4.3 , V_ansiar_b. � H � ruxooaot cirv.�awnanioc���oMOro[��� ��asnnnionourtniHS���uuae_,....,,.�.�..,...�....,...,......u... �i��sMOxw9�w...no. b] '� ^7 H ° a. � :....,.� � x K x ,> Bnsv311. °� De_ac_Qno.s _Eio�_pital �° inp.at 3 y bl H , s�nie or einrr �,,..,.. �,.. 6��trrv or wrw� r.our+mv manuicq H�vi.m m�nxn:o. :;unvivuu'� snou;i..�.�,...........,...., wcs o¢[otm evcn iHy 5 G < 'eS H � � ^.^•�•..,.., .. • wiuow�.unrva¢t:o�x.-�".� ��MCnroaccs� DCCEASE� ,pes � N� ro� „ Indiana �� USA �o married �� Shirlsy Meny "� � • � H�J 3 N , $OCI� ou��v a�v, �uwrv on iounur+ �"'� 1 r+ n uv�o 0 ocsm C7 b7 occowaco��+ Gibson �s< Fort IIronch c cn ,,.Indiana �s� r � � . xs�����wx.�ryE � C ��'J y P[90[NCFOE(ONf 9P[FtAnONUM11I.x i5NE5�DI9[FOrv�uFlu� �.S�OF.[�I�lUn�15 � G .. � H :.o.,�ss,o� f' , .,,rio. o I� r , �.� C*7 O .;� �su H� 41 S011t'.Yl i�, vis❑ xo� i�� { � ;y d� �"� is u[crnsm o� srnrvisn orscenn u.rs sr�cuv mcair,nn. connrv, runnn mm�u, rm 1 � C H H C7 , �su .ES❑ �.n�..� ..00�� �.s� ��..� ,.�oo� �..� � � � (n !'j � i�n¢n_�unc rao��[n_muotxruMt � = H x M y Q� � PARENTS e GAO^Q,e H. ROMERSHAUSEN „ Elizabeth St='8wri ro� (� H 2: K • w�mimnr��_Hnmt�,.�..��.�...�i �ELnnor+5iur i rnaur�r,counr:s .��� �..�� ,o �.n �w. �• �,� r� ���� p ,�S,hirley .1toMERStt�USEN-wI �� Hwy I�1� South Ft. Branch IN 4764a ° z ' � 7/ �,� � : uaxini.cacM�uox.armuv.�.on�ca,.,.,.,., � a.m�.�urvoutui.mn�oxr-�unt«ni��omi iouuorv �. � s�.n y � � Ft. � Branch 7N , �` � o al Holy Cross s � n � bur3 ��� „� n I H �"3 L tD15PO51TION ��.�" 04 .. s ar . r • H .^"'q %y�' '� � � onn�. ruxr:nci. � nrnr-,.,.i I •• ✓ .� d� a� ,� . z0. May""24 l�qg� zStodghill���Funoral Home���304'W,. ���,ocu�st Ft. BraNCt•i, U� � � {� ?� Z 'c7 1'y � �. �.�., ' ,. �. .M ..�: o.q sm � � Houe or ouw :.I . ° { H � y o a y ,-..�.,,,.....,� ��c��_��1�� C'L�cL'.cG��� <'�"�"'_sI`�' 3' „� M � (7 CrJ �y � 'S� rs.D. enrn[o�nrn:r�mr�,nr ir,�ee,,,....,.,.�� / � y�.y y'n n r po „e Dr.2uentin Emerson M.�, '., I ` � ^' O �Sj H O .N4ILING LOON(55 —%�v51C1/�N ' � "� �� C ,,, 109 cCreary St. Fort ranch,Indiana l�7648 q � ,"C � Y ' Ht.ni.n� ori cn-ao. ,. nn�f xi.U:rvro ur �or.�i �rtn�u� ornr,rn r . Sy r� O z . ». � ' »i� ' � � � V HZ y y �o, n �..� /'� n,,,.n,,.- r.�w.i`�,,,y / ......�_.......� x � � � �c�..� ren� �n �.�r�.���C "V -- ��� �ll,t�.�11 � 1.��(/�C � � �. � x � �;i`�. ��„� ' ...��,,;�o,��.r� ��� , �) � ��r� ��,.� .� ,/, �.�.�..�..� . �.. � c ro�i ° , �„� .•�4��?,t���� .��� r17�j,Ll.{,°;�,`'�,�il�.�.(:�� �^,���1!�`(1��� L�l�Z"1 �1���Z���C�1+'�.�.�....,. n .„ M y o�, , ...,. <„ .—oj — � _ IC y � ' CrIUSF. �q �nmi. �. ,.` ..,..�..o.,o,� �....�..�.�..�e ....i�oi _ i , I H i H nnNl r�o 0 Y• i r ,��n � �' 0/1,,,,,.,�I,G ..��...�e'u.��.. aL..-.�.,..Gu�t ��� �G�r.c,'�t,� / ,°. ,..,,,......., �� y � $f3H OB-003 $In1c Form 3>d30 � REVJO/7] / II�