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Death Certificate - Sensmeier, Rosalind A_1/12/2011Local No....Ol ./.0 ./..G.'L � 4.(!... INDIANA STATE DEPARTMENT OF HEALTH CERTIFICATE OF DEATH 3L �292 sm� No....�?�..7 _�f 91 ................. f. ansKatwtlrmn6i41me.LaO j �.- MitlmlaeMmrNFinasl � z Sv 1 TeeaDe� a. DYaaDmP�+v�'M Rosalind A. Sensmeier Kiesel Female 4:23 PM September 22, 2009 ; 90 M'°° °i" �"°" I"`°° febn�ary 27,1919 i HaUbstadt, IN Y.EVrk�U.S.MmaCFVwrI 10.YppL�Qam�pb/.Xmyht � 10�.QW�OawaE$yM1W�W�uibnAlbp4t -xng.wuwu.��_l ��X�vasm+t!�u�ao.d+e+amma^�oeaw�mai ,_:H�p.� �owarr.lme:�rnava� rTamanr.mrGwe(s�.m�f :::"'" " ___'_ "_'_— .—__"—'__ ' 1f.F��NmyN¢tYSSir.CwAMArtlfMpnl .... � —. ,� m,«ra.,.�..�m�. Princeton, IN 47670 � �s. sa.i.:asw�yw�,. � ie. aseav-sm _ '_ IN --- ------ - ; ����� i I I,� ��3� th Grede ; a. a�erswm.G�tws.tno Gibson General Hospital � is.a�r)c.�.ui�tmt++� : iv. w.4 —._'-_"_— Gibson 506 E. Haub St. p. o.wm.ov �xu►+ No Anthony Kiesel I ,a. c�arao..n Gibson ; ,so>.mr.u.ww� ; Homemaker �m. arvro.n _' -- i.. u.�ao�ur ama ��mea aw�:ams.o..n O�aa v.r.daa�mr � - " , Homemaking Haubstadt �m..nra � �a.rorm �ne.n.c+ru�en ( 476'.� I�rtYS L� ' White nwe.nw�rcff�mf..�xl i xf.u�aers�w�nwrnm. Carrie Kiesel � Kiefer ]�. NfynvMaNmn � ba RW6vMVTeD,cWtl � I�C. �hiObtrmlS�MtlMm�W.�Y.3m.Z9Cele) Carolyn Zenthoefer � Daughter j 202 S. Sth Ave. HaubsWdt, IN 47639 I3.1�cad'�v8m �PIVdWOm�P�OIC�M.G�Y.00vPYV) }SClstlotiCll.TUapC3iY �� °F �°a°°°'°�'°"'°"' Sts. Peter 8 Paul Cemetery Haubstadt, IN , ��i� September 26, 2009_ _ _ m. wa�nmu�am.m ' n.w�.�u,aw�s+r .m.earm..av.a.r , na. rw�a�.ismn�romev i❑rm 'x "° � Wade Funeral Home, Inc. P.O. Box 220, 119 South Vine St. Haubstadt, IN 47639-0220 ! FH83002990 •-- � �------�—'-----------------'--�----- —.. ___.------ �---- • a�e.st�v�m.�avarm�aswaiicc�..: � � - n�.�v..xmevl«i�.� _ — �%_/�-��^ FD01017080 i ---- - �-- --- Cause Ot Death (See Inswctbns Mtl Exampies) . I 2B. PMT I. ENa TTe j�axs. Ypcies. Or Ganpfmtms�-That DietLy CaaM iTe D�tR Oo Not EMC Tenial EvaYs i Srt� As GaeBa Meal Respre�j MeA Or VaYnalar FEt�lation v.Ytavl Sro.*B Ttie Etido97. Ou Nol AGberfate. ENn Onh Orc Caae On iA lna. AGO AEEL�nal lm 11 Necessary. -y� y-y) �/y1 ImmeCiale Cause (F� Oisease Or Cm6trtn Res�tlti�g In OeaN A ..� �� ) � � � ! � � � • - � ./� 01Mb(> • /� � SeP�Y tist LmCOims. tt MY. L�G4g To TTe Ca�ae LLueO O� B. J� R �� / : tiro A. ENC TTe UMayig Casse (Disease or 4q.vY Tlmt INia:eo -. .���__' _`-..`__"y � Ow n Ia�� aR "�� 1 4! _-"-_ : iTe EveNS Rea6n01n Ortf�) last C. � P�b (tt E � mmpwn efl: � pGP��� 4tuvat Q�sM To Orall� �NTIrtUEV1AqCas�Gn�nFGM1 I19.VU�MMC�PxYnM) �YY '�ei'NO Y1� j�o..ma�a,a�.aY,nu.ra�m.c�ao.cm ❑r.. %�r+o — G- iJt.ourommtb�cam4sroo.Y�.] In.eP.m�e: . Iv.uumaD�a� ':re _�v�m.M iw ���mm.� iawaam+�wutamvm •:w.obur ao.an ❑e+aa�re�A.v�we:�azmr+aom� ILtea.r r,�av ❑�.ar� ❑rtiaae.mo+n �:3�0.P!epuK9NFiN��]�+HTe1YS8etme0eeT -1tlne�olFrtpnnfNBi�VaYYV ��`.]cb i�CUtlILfB�dbm'sE : 3MOmaM�'IPtr�MY�M--���,ss:-T q4Pr � . —�—]6.Raua�'iFl�_OeuhRSNm�e.L�Sb.RWamaM1YkatleaMa) ! ]).MANMbM1) . " . ; .. - � ❑Ya t lW � . . .. _ .' _ _ . .: '. _ _ . . . . . . ..... _____ _________ _ ___________ ... _ ..__... _ . .. . _. .. i x. ��atmn-wx _- ,..` I'°'- v�ara., _ j ue. mw..�arn.�. i ax. ro�rw. ? xa mua � Iv. o�a.xo.Hnemr.ea : .. _ - . � u.smuoae.avaxawa*ca�eeao.en: �/ /�. .�.._' __—___ _ _ __—_'- ' __ _ '____- i:. ._•." _: '�.-- ��1-�L"'_' _—__—. .. .—,.,�..-������;� �� � � Ramesh Patel, M.D. 685 Vail St Princeton, IN 47670 . �6.IM9enWFUwtlSU`ePrwtfv. .�. �..��� IUP.A-x r,tC;) ' w. e r..�r.asm epr, s�.: ❑aY.wpxav GPmw Ga�e.sm :�oer(soertrl: : �icmav:(u�c�ahane) . li�V �M�� u fava ��bT or v - --- --�foyo26&i.�. 2 i a. ww Alan J. Wade � f9. Fa RR�y Adl-Oab Fld �bCNL/Ifmi ,�,�:= �.1���� � ���e�mh�-� �3, �oo'; IytVF���/9� '�4XICYP=�tivlblW�CmO'IRtiv6.CSW�YYeYINC���9Ymi�Ib�tlali�4RECCNOSWiKSSfAESYFCQ6�EM14LVPCIY}.LI] ���1:_�e- <: ..�:s� ��.:. .. v „�-__�.: . . .,..'. _ . _� , . . ,_ . �i `f. . �:fi!icia: . ..AI. n.,'..:aL. .i