Death Certificate - Sutch, George Lester_1/7/20090
C':
>
�
>
1
O
T
n
�
�
m
N
O
CJ
O
C
i
<
y0=:
i�JyV�
�n-'IN',
a77N'
O�Z.
�Zfi
-���.
=�r.
f
���r
_ C
T G'I L
mZ<
� O T
' ti
'o��
ii r f�
m°T
y O T
NOj
�m�
Z`:n
� C �
�>C IT
m>;
r_
0=
r, >
p v,
<�
C jOY
� ��
n�
v� n
o� n
c� Z
n-
>�
r �
"�.' O
ZZ
�o
� C�
� Q
nz
o�
=n
n0
>�
ra�
>�
N -
nn
O�
N T
(� 1
� ;
)
i
1
l
�
i
)
�
'<
l
�
. �\ . .
' ��"'.� IVRA-20
' (7/OS)
�°,��°'�, ��,°'� INDIANA STATE DEPARTMENT Of
-��Q�' CERTIFICATE OF DFATH
THE pECOR05 91 TMS SERF5 AAE CONi�E4'ML PER IC ihl7.t.t0
�. �_.� ...� a.wwr i..i �. ss
George Lester Sureh btale
y�pfpi W,r s C
State No . ............................
90
rw..axema.e .ve.nwtav..e..
•uiv[iWM uS�r�tD�GiC[5�
1'ES
n r•fiuivw,cvAr..on,.v�....v.wen
Riccr Oal:� E[calth Campus
ip ��wi�uS��M ��. WMV�+G5aJ�5[
�Sp�y�t V�hP���w�lrl
�y IESICOJCf-SAiE �n w.wn
Indiana Gibson
�L S9CODE �l M50EC�T'wi5 �� O:QI
�yp ❑v� vM1/.i
s�cao �� «�•��^ vsa.
�e c�i�pts iu.[ v.a uw tm
John Sutch
x. .sew�rz r:.� �r.nw.a
Charies Briner
n�uETFOCOiot9�Q9i�QV ❑Fwa�+
9 e,.r ❑ u.+.� ❑ n..e.. i.e� s..
❑ oo.�. � u.. w.dn
.. F�4URIIS�uNE
,Jonn R' N'ells
MOS*rk ❑�ao.�� o:rEA i� �'0 Ma 0 Om. W�cM
_ .. __. I— n - . _.
c� utt.ro�..+.
Princcton
Ib DFC�r3t!
Nr Mq �e�
9�?�Q
w u�v.i.i.w���
�a Rr00%euvESS,+GUSTM
ifcGiY.TpH+.ORtOGiqN I#SiWSi/.MM�NBE9
Hazleton 8525 \. Access 850 N
I�sw.s0[CmE�:rati9uKOwG++ taMCE-/�..<..w.� ir.o[CF�B.:TEDUV.ro�
� w � r�. b r� w.ah Gw.� lua, v/n.. w� �Sash a+rN�� o'd w.ra
�wm� N� Ar+� �[I �YI Ew�rylSCVNV> 61:1 CN�y ll� a
�l'hi[e 12 I 1
�� YO[r�t$F�aEUrR�Y�f�.�Yw�Sw�N
Lota Peeler
uLLS+G�SS(Sw�wMnwrr4iiL.�ra..e�Urrf�S�I�CW e�W
8749 \. pccess 850 N, Hazleton, In 47640 I Step Son
]ta O�TE YO MCE 0� O�N� ��"" J srr� ewmr n 3tc LOU�OM�if a ian 5s. ..
,�,.,+�., Feb 14, 2007
Hazlernn I\'
Hazleton Community Cemetery
f1s fK9u14N�5LCF%SErv I xl w�soFJ.i.PVOA'F;.:oCO�Jr�ER+
FD01009940 i9 "° c `°
r.. s�auru[asruaw.oxcrav .' :u urtxss.a�a a ru�c.mEStuaucri+�n.eaasn.o+u�
� j7 / � """""' Coh'in Funerat Home, Inc. FH830056i1
� �J� � �A'` .. FD01013010 q?5 \orth>[ain Street Princeton. L� 4i670-
l� VUff I 6Y M Yr F/w O 0R�[o� N Ow�f Oy O�M W b N NWldc M�u wtA M uYC v r�aYR'I . �d���
�.�a nea s M�� u sy w�w w ra.+�n �w wnM
o....,e o.a
•-�ry•rtuusEU.+ , RZSJ=Y--L�vY FL�iLul`2. J�P wz�n
e.+r<svem DL2i0fON�5�Cd.YV'-EHC(0�l ( n . �/
.�.�.pnunl . e �� "T' C i�G L( VC Y1C1 .: C:F `.���StLI� l/ �:Z41$ .
�sme. �«r..ncn a�+ �art : o[o� �5 a cor+SEC�veE on
a
.mQ e. vw�rN� Pk t0 tOn a5 � CqSEpkMCt On .
a
o�P: � Gcw w'��•n <vm�. Coem�� �a�eu�V m wai a+u w«w/Y o.a • on � il wl5 OfCfDEM: ]N ww5 W 4RYSi tm MJE Yf:03� fwA+CS
r'cu..r an m o..s orffo�a+ .v.uxtcwou'o
��v.� �2CicYiS ros:o.nnnn �r.>d c�r.o.lo�uist
� / fY�r s wI 0� LU:M IIw erol
�='/� `:�i �0. /\/'�CI.�I��qt�� �� �� �0 �
"Mi RA
t0.CETi1frtA y.C!I�N1WGMr5CLV� Tswerin�w.waPera�xan�aMe+wa/�.NHCawa.nuw<u✓alunee
IQ�e�my ❑Ff/.:iM1�FlLUP.tiMad��w�ev�r4'v^neF' ^^)4'�0lcca+MarvVw.bi�Wa���O.n<M1[��w1�l��m<
h
❑COPMLA OnMwtl�uwvW/>/'M�MnnleW�pMaetlnN�P�wer'eW[�NUeh[�u�(iIWT/r�euC
t9] SR�afUIEL iRIECFCiF(HP Y IROIUItICL\SE1i0 }96 D�iFSO�INanb�.Y�l -
l` ,f� �:_L� .I. . Oi__.<.r.._.. I c�io liC?Ss� T�Sl.♦ ., i%=i
v ru�e uo.0o4u o� �t*v
lirishna DLurlh}• �
�i ru:r�.ariccxsswru�c
u�I�t11 pi C(lin
+O CO�0.£FJ UVSE C( CFItn OiEU }S11TpM�+1
105 �. 2nd A�•e.. Princeton. I\ 4 i670- .._
. �' /��/' f...=�/
N. NiEOiwu>I )u :ortfi N� aFA��iwOPC+ Na.
�� �. � �yn tr..r..�
u c.n��W.c.u.-...�
y'Sr«� G o.�a+o � I I �
s...c.>.�
Q�rsew+ N. ri�fi Or r:Mr_u ro+ �.w er ��ch. ex• �u �OUnY+�Su.w �e r.,ro. s M. �au Hra. Gl e re.n Sw�
Q$.Kb ❑ Ceb M b !ni{ 6 1$pc,i
alin�i
❑'1n�tq . �1
1yC�iEP!10MOV�CFDDE/.'J(4wnG�._Vrl ISMU0i0RVFwCtC�.LCGQIir�inrroJlrr�aa�[IysM j
. �
SDH06-004 State Fartn 10110 (R517-^a�
JAN 7 2009
/ �
• • � •"
i- V010 IF AL7ERED OR ERIISED - NOT VAIID UNLESS CFATIFIED BY HEALiH DEPAflTMEHT: