Death Certificate - Snyder, Ernie M_9/28/2009r� �
a�
fri
+0 tl DaT Oa�v�eG Y
� Ttl � NJ Iklit.'�I1� ❑ p� � 5m¢
i1.Fx�yNa're( �
Deceased's Residence
12 G:y p Tam.Stab. atl Zy fa0e
Fort Hranch ZN 47668
�s sv.�w5 �y re�
Antosie
1E. RevtreO � Sbb
Indiana
tic. Seei Ntl Nuror
d02 N Church St
t9. 0 d�daEEi w
High School Graduate /
a r.�. H..n I�.r �av. �ml
Albert Snyder
Antosie Bnyder
ua. u a+m a o.o�awr ne.
,R� Boia � ue�m0 oram O Facnamn
❑ a.�wi�vn us
❑ aw (sary � Wa
a. wa c�w c�aror n. wm. ma c�
O r� � e �. �..,a..�.th � �
� - �
INDI/WA STATE DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
�
����
Gibson
Wife
Hill
m Faila Q �OVh Hvre
IJ. Wny01 Dwl�
� Truck I
1� CsyIXTa�n
Fort Branch
10 AM
o a��
���
17, 2009
a ro� m.ey�
Indiana
t�. AITiW 9h1n N i q De�
� 11a�W � ur.eE.0�5epxLH�
❑Nf111 0 NnvWRO �Ui
n. rnea�
Tranaportation
� White
>. uwn.. wm. �� a wm.. la+� s
Retha Snyder Hilton
��.-�� �cai . . .
402 N Churah St Fort Hranch, IN 676dB
500 E Paik St Hvy 168 AeSt,FOrC BZanC�
ac. uam �nmea (P �vs.l
ED01024378
� Yv � b
R. �ar� Frtm Tr �-.-.. -a _,e..---uasas. hMw. h t'� �ima—TW Q�e9Y CacaO TTa Da�R W Hol ENa TmevW E MVO��
Srh Av Catllac Mest Re�rataY A^aaL O Vafmv�a Fd9s:im V.5tM4 Sbw^B�` E °�� Nd ENb OrtlY One On %� Werva[ Onsm
a u,a mm �m�.w,� �ra n�r. A� fq'A1�� Y�1 P�Q C r Q l QV i� � 1t Cj �" T�_
tr.nie6a:e cause (FVd axase a ca+aoon Rmiai� m oean �r— o...m..•�.-�w
Sep�' ffi/ WI GOMCw. tt N 1. lBem�9 To Tie Csna Wbtl O� B- i.N �.� re�oAdt
lie n. Etax ma UMa�wS cause (aamae a h�Y mn wmtea
TM Ewntt RoWll^9 N DeaV�) L�t C.
O�i�qu�Ceq�uO{
0
v.n n. E.m� a�r se.e.ra�i co�eornsnns—�� er w�re n rn. u.ry:v �� c:..� r e.� � � . . ❑ Ye ❑ w _
ors ovmcporoow�
E. Osab Hcu LNY Qvrea
❑ mrye.wxv.ur� o r�..ar.�a�a ruv,.P.ie.mo..wr.�aomaae: o xr.a o!wao �ms+o v.vc�
'� q�� qqpl py�i Ct� � 4W��Ry��Ma�11�vrY� O O fptlMbD�1�l
l5 i d �1sY I]fi. Pam q h}�Y I� G. Domfa Nuro. Co� Sb. P�ral V.boOeE Na) I]]. �TF N VM?
QY� ❑In
I0 m.�m.c O rsw O wx�s� O m.18e+r1
� law oiW oral
Caq+9�m� War�a� IYSiOE:c
w. umi:nu+cs u.
�
��.����p���.t,,�«� o. �3� �' l D
Quentin Emerson, Dr. 7861 S Profeasional Dr Fort Branch, IN 476
.r. via-
�6. M�OV� fu.aal5v� FTiim.
Y. sv�+�.. tl� i� K �p � 1 �t
,�� G. j''��+ �Cj �JF;:,��`e:�, � ��c.., �1. ����i
sw rm..o���w�rrtr.v� rs..:[ +.. wr m.w..e.a �v�..q.. e. v+•�s.w.
..e„�..., �...e..,..�._d,�,..,d,... ,..�,.,,��,.���.,.�K»�,,.v
—(7/05) ���� ��
1 1 ' 1 1' •� 1 a 1 � I l'JLL7SlJ'LLLllNL'19� '�l1L:LLIWlSW