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Death Certificate - Shoemaker, Dallas_6/23/1987i' : � i z 0 H C b .. v C � r ra � � � H y ro tC � E H � o . ro 'O n ►+ b t� m: my C" � � O O 0��0� A = .. q � c � ..ZO�r., (n 7 U: � � C • Q 2 K m '� � �� ='0 .�. [7 � y n�� y � S K = 7 C*] '-' z a � � � _ � �` n � � � -' � �n y �.. roa o �zx n I �. � ��y � �' y y n �-3 � � � � � .� c y � D � N �.q � � 0 � n q �v Z �..z K D C ! t+7 O Z y X T �a'n y �:� H Z _-b'�a o m � �E� � � 3 m . z�� L�y+ \ y ro � � �qz � c "' y 3 m O �S�F.� �r-3 2 "3 „j �? Ca � ` m < n 7 'il � ._ m -3 :n � .. < S'O ..,>.� rz� C' i7 b mz� . ` � ' . _����.�...�" ' -' ':.:'.a.ee.tX.'tA'V.""�: 800���� INDIEIIA STATE BOARU�OF HEALTH nu�e ... ��, ;��,� �;Q 9 A7EDiCAL CERTIFICATE OF DF,AT�H �a ......._...... __.__......_:� � �M� tlO�YO�YN •^ ��� �y� • � _� O�� O Mrf� � � o. w... � .� �r, _. Dallas F:dvard Shoemaker Sr. , Male , Hav JO 1987 ! I r � ro �� �."�r.+_.- w:�.� I �ra .' u�"��.a� � w. r4 o- r� _._ - cuw.. a n��. .o. j a-��r '� "`"""1O" . Vhfet � 76 i» �_; . Junc 29, 19] � Vanderbur Y� ' '� •�`o�oo� on�vw�M�GC�ronu�n .owrow.��w{sMa.+���'�.-.�...�..e.: .. �a`wt���. , .. evsnsvillc .. Yelborn Ba tlst Nos 1[al � v��Iopatitnt';•.�'• •uwaw.�+.�_... o�v��o-w+r<a�.,n ....�orw..�rn. �r.r�ar.��.-�_� ' weo�r�.�� � OfW6[D ""'^ rO00�DTaStO.�� � .� rOM4Y .'� i � . Iadiana �. U.S.A. „Married ,•� Anna May Hayvard ' .� �'�VQ'__..- i.�.. ,,, Laborer � ,� Mebt.Packing . M�N4��4D rfOl�Cl��I�A fQ�n �T �P�P�OC��P � � , �awo �n��. i •: � '• . •': ��� �� Indiana �� ��ibson � Ovec�sville ,';;,..`_''. rn+ n.M�..ew.. ...w.no.:...... � ...mo...�.". ' ( . j� ' � I�wOoM n •.l. :i .. ... ._ �r �v wtXl �O� N'.n� ',�:� ,I aYW�OebWS0��6M. •A�V{O��u4J�O+Y�wI�roK 1�< . . _ ''. _ � � f ��'� __ ___ �.. ...0 .e� "� " ;:-. � MH�-�W +r r� . .YOW-wp��r �� . ..�� '....�„� �r .. � ���.:;( �• � M111l1Rf ... .,✓ i' y .. � Calvin Andersor� Shoemaker „ Bertha � ' •'^"-�StEproe ' ... -�, , +wrr-�r.r...�-. . W�TOr�Y+ . rro�mru �r��«�r a.��. . ...�� .. . w .. .,; ;._t ,�An�a Nay..Shoemaker Y1fe .� R.R. 3" Ovensv111e:'-.�•Indlana':�.47665' ...""'. . .w�.aur..TOw.�ro..�w.��.r.. � o.rm.oae...�.-w'+r�o+� �sao � s�..+. '. . • �.,��1�� . � ,,, Burial ,� Bethany.Unlon.Cemetery ,� . '..Eckerty;:.Indiane•`.� . .. O�O ��...... � wW—_ _ �r� , ... .�n«.��r�.�wr� _. � -..�.�.`wY,' ___ ,d ,•.June 2, 1987 �jiolder's Funaral�.Haot.. Iae: 319 S.-Ma1n Qroasville;C�� ..._... ___�—_.-_ -_ -_ . . ........._�- .a.o....�. - . .: `� _..y, _ a..:.'�.� ,L�� . ri�-'�� �Q�} �.;.:;10i20:�A:-w-.c:r r.o:.::: _.: ..... o..+oo r..c.. ...� o«o. . c.:c'.`?1jt '� :�S[e hen H. You N.D. . . . . .�"r.,"-� - .-..- :..�.,.b.m...,-.....�,., 41t S ' :�v�M <i ,=:-��t . .. -�.° Evan i e: Ind. i33G0'.�i77/ 3 ' �. . �i,.:�_,''�#7; - ..... ,.,,, "_ .....o......a...«...a..o. . v�.r �� ». ' - �' � , .. . .,. � � .. : .'. ��n�•�•�- ���(�Or"�'gv '� u � � ��� ==� "�"_..' /�DIU%�✓!G 5� ..__.��.......__ -r----- � �.:;,_..�+:.:, :a; w.�.�•"" ! ��. �..'•- ..t'r:;`..;. u�. �.i. . . . .. ., �. .._ _. .. � _- � ftcu7�-, wtYO c�t�' o,m. , N/'�r�.cr, a.J �,. ._ � ,:..::-.:�� N }. -. ... ; """!. _ �%�Z OCCU/SiD�v (f}= lu.rtN L�rT Go.faR./ -Z�c .~ J f -: �;_; t:.;i ��... e � . _._. �-�Ali- �%u�4 TU /�C-i►� �T�a/D . /Tl4Da�'1'1 � .. �• N NO ..�.. 1 . ..w.� ra.M� .�_'_ `___ ....,. i ,