Death Certificate - Reynolds, Ruth E_9/3/1996.
:n`..
,. �.�.
�1
�
� �
� ��
�
� �
�� O
�^
W
�
�
G
i
e
Rutn Elizabeth - Revnolds I❑ L� � �
�A.VIAGEOFOLAiH: MOSRI.LL MO9NTIL MSFTAL NUP9M0 PAN�TE QT11EF�$(VC�✓i 1
Y�l�pVVl'O�I. 00� OUTV�TIFN� INVATIENI MYB NCiIOfiMCrQ
❑+ �x ❑] ❑• ❑ ❑ '
�C euuE OP G,KLL/TY•ldna i '"�
�Z–; 10:04
� �+Y A� m«sl � W. LOGI�IY. !Go ar ua wwsnl ��C COUHtt OF (
W7.P1t.F1iOjJ Uf11VETSl� fIOSAlt31 � �OP �'�+^�y�ear rowr�o� ,
� ❑ L� ❑ Ly1T1EOld i T`�..5$t�
�R. NmIGI PECORO 1W. � W. W�S pECEOENT TIUMSFERREO FIiOM uqTNEA INSTRUTIONi l�� Y�a iorary u�ae�rtun n�. ary d �u.n
.. , . ' 460269 � "° "�
. ` _ '};';;'r-' � L� ❑
,¢��„�. ��v`^ 0.�`.�1, ., • 1 WTE OF 01RTM: 0. AGE � W UNDEP 1 YEAR � IF VNDFA 1 OAY �}�,'I� U�STATE OF BIPTII: f��>Y � i
, �:?- •"Y; �..,,. o,,. .w 84 � �°-- ' M ' � �f�, 9.,d1.a.� ,
�V�"'. wi:..i�t,."v:.
p.��..3 .. : .�,�,•.'?:o-'.: i
;H:o-ais;,:,t, ruce 28 l908 � � � ���
,,.. �
r 2.':)'":� :. 0. SEMEO u� US��RCESi C. iiAGElHim. wnq�. �1 i„O.oMiS�� ONK.w�(uy� �ry� ti.OECEUENT'S EDUGn
¢ (.:7.:fC•a .. i NO T!
w�+.�'�" m iUftL�¢. �CK. � o.�.+..+s.�w �o,a
i U Q'<�.::_ �' ' �o �
�J,J•t.�':�.:•' 1
ia,w�.
a .i. �.: r�.
° Q o ?::.,. llouaeu�i.Oe
Q Ci'.'; • 16A RESIDENCE STATE � tl
lL Q �' ._ i. �� �
I�F-N:: �, I
Q � � :" : : ,
� H� �> - ' �eO. STREET uW NpNOEN Of RES
�¢w �''.,:.': .� Ro�Ee / QUx
� � ;-�.. ,
'J] . C . ' V, ,��ME OF RRST
�H W I--� .AMER: ^�
. (n H H ' .• J7
1�! G'. , � 19A, N�ME OF INFQRMANi:
i LL:
F- O ,
,
r _:: mvr�na / etyro.l�
� u=� ''�- � CO�. dURUL CREM�iION, aEMOV.
GU.Z.'...' � � O�OTNER015POSITION:!$a�ah/
�' ' un.ca,L
�= LL -
LL a ' 21A NAY$ ANO MOPESS OF FUNE
T C J ' .
� � we�c,,.d B,wa. 9„�
w :�,
I� F � �=A eUwE OF FUNEPAl01REC:OR:
w � m�.�.�.c . a
U Z
� � S�G�+eryqEOf EGiS'R
� ,�o. ��,.,..,. o���n
' iiome
�—
� teG. LOC
� an or
I �
� �� IUN'
...... � . ... ,...m .. ...... ......... � �
�
MI NO fplC ryl �1 n
OF iOw^H OR i0/U-. U�QIIC�2
L J
• i IDE ➢P COOE
; 4�6�i8
10. M�IOEN NAME FIHST
OF MOiMEP: L /
�L�Q.
�PE
� Hi
��FI
��
�
Ko e�,,L.
�
c,
�qMCV�aa�mnGw�Ol '.
cdw.i��vs.i �
'!2 Sea,wuyfou,rc Av� A.(benza.on, N.9. 1l50�
�
o�v pfp ��08. PULE OF BURUI. GPEMeiIOM, riEMOVA� JR �:OL. LOGTIOM.IGY a ro.n ua sum
oJM�r+prsq sR
I jcr� iwQ� �CP1RP22A1� i}O/I.t. i3i2IIJtL�1��RdCQJlQ
� Z1B. PEGISiRATION NUMBER:
N'�eAve, lV1,LL�afoal�, N.9. 11596 ; 02053
i 330. SIGNeNRE OF FUNERAL O�HECOR: ��C. qEGISTR�PON NUMBER',
� ►%%.cir� p� 9. ,�r17�"' � erojr
7„ w ���� i 0]B. OA� ^0. Iel OR FEMOVAI - RMIT I$$UEO 0Y: � 2�8. OAiE
� iILLE�: MON1N O�Y v[eP I � �ySUEp: VOHtM 01v •1
m �� ► —�� ' 12 114192 Dolores A.McGahan de . al�'
��:a
LL' LL� ITEMS 23 • J] COMPLETED BY CERTIFYING PHYSICIAN - OR - ITEMS 25 • J� COMPLETEO BY COflONFA Oq MEOIC.lL ��
I 2 2 . .
H C� � :5�, i0 inE 9ESi OF uv eHOwLEOGE. OEAiN OCCURaEO ai TME TmE. OetE 3U. ON TNE B�SIS OF I ESTIGAiION AN0. UGX EYAMINATIQNS. � MEP
' �nO PIALE aN� OUE TO LNE CaU5E5 STATEO. �5 i FELT NECESSAnv �MV OPINIO� OLCUAAE� AT THE
t�ME. JATE An0 FU � OUE t
�' L , ' SIGN�il1qE ......... ..... .�.e �CTUSESSTATEO. �AC�AONER:S
E.� , . LME PHV51C:u+eTTEN0E0 iMl
;....._.__ -.,
'^a� I I I � *o
i
i
o�
� UNpEiER�uixEO PfNOiMO ��n'^�4USENFFEPnE0�0
H�RIN�lGU58 AGC10[N� 1qM1[I�Q SUICIDB qNCUY3TINCC! INVE$TG.�i1�N fAHOnEPONUEDtGLF%�uixEP
L�'• G: ❑ � ❑. ❑ s ❑ ❑ v � .e
COHFlOENTIA� SEE INSTRUCTION SHEET FOR COMPIETING CAUSE OF DEATN
J0. OEATN W�5 CAUSED BC �ENTEp pNLY ONE CAUSE PER LINE FOH �e�. �Bl. nNOIQ.I
Heart Disease
, --. . __... r
,
, J,
�10:04 �+„�
554
u. eUt0V5V? �.90. iG vE9. wEPE
rq r!'J � f0 �fiTEPMiNE Ca
�o ❑,' ❑e �a
CONfiDENT1AL
♦nrAOxiu
9EtWP,HM Oi
1
I1':= ,"..:.
.�
��
�
. � Q� �
O
i
/� �5� �'
V �
{•7ARRANTY DEED
• �6 �l{YY
; THIS INDENTUItE WITtJESSETIi, That RUTfi REYNOLDS ("Grantor") of
Gibson County, State of Indiana, COi.'VEYS AND WARWINTS to MYRtJA L.
REYNOLDS ROTHSTEIN of New York, New York, for the sum of ONE
DOLLAR ($1.00) and other valuable consideration, the ceceipt of
which is hereby acknowledged, Grantor's undivided one-half (�►
interest in and to the following described real estate in Gibson
County, State of Indiana, to-wit:
The South Half of the Northeast Quarter of Section 17,
Town 3 South, Range 10 West of the Second�Principal
Pteridian, containing 80 acres, more or less.
The Grantor, Ruth Reynolds, reserves c� life estate in
the above described real estate.
, IN WITNESS WHEREOF, Grantor has executed this deed this �h
day; of - ' � , 1986.
�. : . 'i r. . `., �. l . i ,
RUTIi REYNOL S
STATE OF INDIANA )
) SS:
GIBSON COUNTY )
Before me, a Notary Public in and for said County and State,
personally appeared RUTH REYNOLDS, who acknowledged the execution
of the foregoing Warranty Ueed, and who, having been duly sworn,
stated that any. repr�sentations ttierein contained are true.
WITNESS my hand and Notarial Seal, ttiis � day of
Qt� . 1986.
- l��ihL��i/,�� Q � lC%�cL�-t�_
� _ F��jQL/��T IVi[.ry "PJOTARY PUBLIC
Resident of Gibson County, IN
Mp.Commission Expires:
1 L i�E � � }� '
; TIIIS INSTRUMENT PREPARED BY CkiARLES R. NIRON, ATTORNEY
�
i
�
,,:.�
RFCE[�'rU f��3 !:-°.`�:'��
rn�s —1-�-- n°! � i ..� =[.
A.D. 19 � oi � `i cio�k �_ �"�
D�a�re� I�o. '—'
Caid No.
�-�° ��.,,.o .
R�daolGibsonCaunry Fce�—
!
U�u tnluuu rVn Iw�Hllvn
Ilt��aap o/�
a. o., m$�r„
1-4 • O • C.�a�.u�,°. ,.,, a
AUOITOR QIRR �n