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Death Certificate - Thompson, Bernita_4/10/1989TYPE OR PRINT E � y 1 l(..... . �h: • ���lJ, V �M'�.r. PLAINLY,WITiI a„ INDIANA STA�'E BOARD OI�' I-IGALTH ' w UNFADING 1NK ; tO` Stalc : �; �o�ai rro . ...................................... MEDICAL CLRTIP'ICAT� Or D�ATI-I rv�. ............................................... T1iI$ IS A W rvrE oECC.s�o-�.ME �,..� woo�� �.� se. o.�E or oe�r.,�o.,. o..... PERMANENT `" �"'���* �, , °— �. Bernita Viola Thom son = F � D RECORD . �` """•„`"' . ecember 26. 1986 � �qq nACF-..� .. w N .. .�G[ ,�...✓.r.. uxnta � rGn unorn � o�r ouf or oinrH.w. n...,, Coaxr. o� ourH 10� �' IMSIPVCIIOMS ^ �•y• I,•' ���� � n�iowro�s�z«orr��u�� a ,�E � Caucasian 5. 70 se�3 �19 k. ��� aSe tember 7 2b16 Iinox � W MINOOOOS CIM1.IOWNOIILOUIIONOIp[/�tN 1NOi1111LOROIMCPIH5111U1pM�xw IMOS�-ORINS��.r � Z � �iw�.��r �..rn�nti.�.rr. M1I.���.tiw�iMN A : w z ,. Vincennes >�, Crestview Nursin Home �a In- atient $lA�FO�BIR�Mi.v�y�� �Ifll[NO�WMA�COVNIRY MARRIlO,HfVEPM/�PMIED. SVNVIVINGSYOUSfw�n�..�w�yn.�.r� ' W�50[C(O[HI(VlRIMVS DECEASEO "�'�'�""' vnDOwfO.�NORC[DU.ns �nufD�OPC[5� B ..Illinois , USA �o Married , Ro Thom son '�_ "'"'"' No ' � COVNII �IM1,IOWNQPLOG�ION �' Q� WID II DF��M jy � � � OCCVMR[OIN �] , ,HaZE1l�OIS � E (.� : INStIIUIIOM,GNF �5�� LI•C7 a ���� G' n �k ;� NF510[NCEOfi011f $IR[EIANDNUMBfR � PDMi5S10N. ISRESiO[NCEOMnIwR'n• irvSiDl[il�liM�15 F z � �'{ ri<,..,.e.Yes 1�. If�. Y(5 ❑ rv0lil I51 G' z 0 F RO[CPSFOOfSI�NI5N06CCnP VY6Y(Ci1vu[eIC.�N,CUEGN.PUUIOA�C.�N.EiC. , a H y 6 N �ea. �ts ❑ .o � '� W z I�1M[R�NAME �uf� rCpl W� MOINLM-MAIOLMNAMf �utl ubql Vtl W z W VAHENTS � � �� � �. Fred Rob �,. Flora (Spencer) Roby ', � � M�OI1MnHI_w�u[nn.....� PEUIIONSNIP quLlnG/.00aL55 � .,,�,o..�e.o <�,.o.,o.. .,.�� ,. � �e• Rov Thom son - husband �ee Hazelton Indiana 47540 K � lURI1l(AEM.�IIQN,PlMOVALOIIICN��nrw.. CLMEf[RYORCREMAIOM��IVNlR.�LIIOMF IOC���ON f�np��pnn {���� � 7 o�SPOS�.�oH �_• Burial �.sIlazelton I.O.O.I' Cemete �x Hazeiton, Indiana � D.��E �wOx�rvO��,�1�� lUNEPALNOME-n�u1�xO�4Oi�ft iS���1�0���O�O.Ci��O��Owni����l��l � :o. December 29 1986 =�Gardner & Son Inc. 505 Main St Vincennes. IN 47591 2 Y � ^.r.y�.m�.r•w..xu�w�n..n ....rr O�If51LNE0�w.,o..n� MOUMO�Of�IN [ / bWU.�..�• �i • .x�.. .«.,...�� �it.-� �VJ�.�TCs-� lH ie. n.. 6' Q P 1�. 3 bJJ ` M.D. xwu[O��rt(eowcvwrLtunrr...�.....� a �c: Op � 1 � ;`� o.o. ,,, Dr. Alan Stewart : •�� MYpNL�00Pf55-IM�SICI.�X 5 '�: ��. 618 S. 8th St. / Vincennes, IN 47591 6 ci � ' �c..r�arricu_.c..,�., �; o•�E aECUVm er �oui r.uu� orncu 7 �' ao,n^w.. ox.. bi °m B ? ,,,,a�co.. n ��.io-.nc.�.� n,,..w..w.r.o:.n.�,...w,N...o„u .....�.....�....�.. -p-.�}- /"� � � O �a.n r�ei ia .�. _ TL/�/�-CCiL..C�C n �/ ' � vv�.]./\ �'y� 0 .�n � �GC��- tr�n rX / �t�f.�ua- � 9 '� (-• `.¢ w�ow.�.�o-.�a...<�a ......��.....�.,....., z w ' �� 1� � ; u„r�w ( �q � � � � 0 � i o�n�oo..i.�o.un,�.uo� - 1� :a] C CAUSE ¢ �.....�...�...�...... $. " �. �.nr a�......... .(t\ .iw ...�.....:_�.... .......�� � . — 12 < r '� �� l\j`.•_...����a . ��^.n '��.�n s..� A�r.� �e .. ............ � c " �— �`yt � S�H Ofi007 5'atc Form �5�130 . ' ' FEV.tO/77