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Death Certificate - Wallace, Robert P_9/13/1989��� `���`-� rl^! If��DI�NA STATE BOARD OF HEALTH � :j,� ( j :�j t � � ..��-...� � �z��uo . ..............��i:�......... , . � CERTI�ICATE OF DEATH . ��eNo. ............................ ` i O[CEaSED—naME l Ifi YEP0:c4 $i."+�EO W U 5 ' FwED iOaC'S] fw5i � , mi00lE � LaSi MoM.�I DaY� Ho-Jr] Mvyvl�l O�Y.Y[Ir1 A�•.. 1 i Y nOSa�tit� OiHEF 1 C) 5 � I G monua ❑[wo.�ou,.n ❑ oon I—�H,x�� nam� ❑ en I 90 FRCM1IiY AAME ltl nct lvm>um pne avtt( a:� ivc_etl 9C CIiY. TOW N. Ofl LOCAi1QY OF DEATH Sc. `fary!s Cor.[inuin� Care Cen[er Evansville i�.�naWT<LSiaTUS—n:uum II.SUPVrvwG5�OV5E � IaeUECEDENi5U5UPLOCCUPnT10N' Kb[rManpO_W<owel ItlnleGirensiGmmntl fCl+eYiydnw4CONOUNpmOIIdadk�p✓�. °i"°"ef5?'�'_=ried Ruth Kerns � Dona1uaofe0'Loader - �. SEa J. OsiE 0� DEnin �w.o.. �.r �fale Pfa 2 1989 1. BIqiMRA�E lLty �nE $Im w fpeqn Lahveyl ��l ❑ qnn (SO.c✓y� • YE. CWNiY Of DEAiM Vanderburgh II�.NY:D Of BUSWE55/�'�WSiPY ' Pfeat Packing Company Ua�SIJEACE—Si4iE Ib.CCUNiY 1]:.CIiT.iOWV.OflLOCniIOV I]O.SiflEETANDNUMB:fl indiana I Gibson � Owensville � �ie.WS�CEC�TT �]lF<n�� IIp.ZVCpJE �lWaSDECEDENi0iN15PPKICOWGINt 11FYiSllYtiwrol . lSoeNYAypY[I.YY[f.ip![/YCvbrt Mu¢artPonrolLnhsfU }(](NO �Yn Yes L76o5 5,,:,,, ❑. FL:nErlS N?M� (FrA /Al9n [as0 Gilfo:d i�ial�zce IS> L\FOFA1nl:i'$NLM�II�ye/Rn(J Ruch Wa�lace � nictr.OD 0� Ji5aO5m0� ''.�'�f�9v�a ❑ Cnuuen ❑ Penen�lromyau C o��b� ❑ w.�rs�.�✓i� ]�� SIG'-tU�vOFFU�,�IDti.ECTOfl Q+ju(<e i 1]a.[ ONy ... uNY�^9 D�Yww rs ava4.�.le �I LL-.e EI CeaLt lo aridY o'vt<ot « �c1 N tudEG�DE<ln 305 W. Warrick IS.MCE-4nttk�nWnp I60ECEOENi$Ed1CAilON Bbck WMe. �m. ISOeN W m nen .�Ee c rt<CI l$DlCdy7L 1 C e [IrmtrttrY/$fCwWry IO.ill CO�l:r 11.1 p 5• 1 w�� � � IE MO1HEfl5NdME(FOLNC9CM�NmSveym�I Jane KiCChen� Ii9eM<rwcnDORE55c5vue.nemm>..wM.rn,�ferun+c.,.c�r>ro.nwn.zncea.l �vcn.buen.no 305 Id. SJarrick Owensville, In. 47665 Wife 1W. D<iE FND GId�E OF DISGO51'I Ny.�ns df�melery. oee'.alvp O/ :Y. LOC4ilON—CYy w ie..p SOb em�.d.«�I`Iey 5� 1� 9 . . C1ark Cemetery Owensville, In. 47665 � 110 LIGENSE NUMBET }]. NAME PDD�SS. ANO UCENSE NUMBEfl OF fUNER4l HOME _ �a�K.�:..� {older's Funeral Home, Inc. FH33005427 FD010o2338 ,,, „ „ . „ .,, _ ,�„� ]Ja. Ta Ne oeat ol mr''^o«I�e:c «M cccwrea u �n. wne. <nL �M cbu u.uE. $�SM.we an0 iJe G 25. DPlE PflGVpUNCE� DEhJ IMa�; Oap Yeul }ID. �ICENSE NU+.�BEP I}JC. Dnlf SiU:ED IMau.t OsK Yerl P6 W<5 C/+SE PEfEPPED 10 MEDiC<l EznmwEa/CONOnER> lYUanal ' ( p:�Y u i p1�V L. 1`1ri`1 ' I "'— ]]. G<fli l E.vt� L`.e bstase�. NM�ea. w dLpYCa4Mt I�al t��ae0 L1e Oei 1 Do rqt �rv�r N� mOde <I Oyu^-0. W[� a� f��E�ac w re�pv�IWY lf([Sl z.bCM1 G �.ele� IaACl. J51 CNy CM C]::5! On [i:� M�. IMN:DIPiEC0U5:lfeul /�Il . y1=•l��%`^�—� Cuuie cr cOnOe".w �. ""!! «rvW; N euml DU: iOIOF FS 4(/OKSEOUFNCyJrI $fG.[MU0/i31CCnCrYa`.s. ' .. 0. � I J a:.y.lu�sG �o i=-.<]ul< OUE i0 (OF P$ A CONSE�UENCE OFl cnerUVEiLYWG � C-VSE IJuuse w r.ryry � �� , � u+ai:wnea rvem OUE iOIOH n5 n COU5E0UEnCE OFI res�9s;��eucJtFSS � a PAni 0. GNa ipNCW :cr�C4av [wvrtr.y+� Ic eo 1:'a rot miWUnp m Oe uG«lynp Uvq Cnen v� Pvl L 78�. WA$ PN PUiO>$Y GEPfOlWEDI � p-s �:; v ��� r ....��o }Sa C:FiUl:rt �yCEfl�L�YLVGPtiY51C�oM1(Pn W o/Oeai�.nenuwNe�MYr<unNipmoveeeCE��:A�MCOmd��eChemlD (�e:: �Y Ysrcun ttr �n0 ume anel ioL`.eEeflCfe/4KrrleC�t.Ce[4'1C:<:�reG:�slCl.e<�uf!(f)�MNm�f��tlltv'J. � qG�•AiUPE �"ME:J:O: JI. H:fL i . iiF. AOpO�Ynll� wnwi0ei�een P+sn .+e o.nn ]OG. Wf�iEPU�[J✓]Y�ViVW45 PVPILPBIE VWOH t0 COM�IEiION OF C4USE OF OE>iHi ryu d riel QPOONOlJ4GV:GlJ:DCEfli6TWGPHY$IGAN(Pl�ytl<iInDONppqm[Np0lINuMUNynpnm�dde�Nl � i a N� Ct3t C1 rY �^ItO�e. Eeal� O[C'!lle0 �1 NC W. t Eal�. �nC p4«. �nE t�� lo N� c�u�<(f) �114 Cam�t �� �'JI�E. .....__._ .._.._..... . . . .__ .�...... .__ ... . . . r NEDIC:.t EsRbn�EP � C000N_q O MEP�iHOFFICEN �' On N� �na d e�u:+'.amn anE/m nve54p�4M N mY CpWOn EeM ocCart�E �1 N� [une.O�le. �M pla[L uq Eu� lo I�e UvH(O �M m�ma n �pHE. iOFCfliuiEd I — - zSC.ICENSEm/UMB(E/P'/ ]9aD i� �� /✓ l � " � �b X— /� � �1�:+�\� WHO CO.�iE� COl15E OF OE42F OiEM ]II (Typ�/hM ]��.OPiEOFWNPT I :�>.iudEOF (A!wtAOiY.Yeu) WNPY Ory. Vurl J]. DniE F4EOIMassR Oiy inNPY nT WOfLO I]�a �ESCwBE nOw wNav OCCUPeED (Yn w nol I L� ro:.rV/J c..x� I . l.eaqauon . � Ac:i:v.l GSWCEe �CcNOnmG� e�LACEO`L'NRV—A�Mm�.IVCrtfVUtbqory.ellc• Dn rmmeG ouuEUy, e c. (SO��dyl ❑ M.c.+iic:e• i=1106�00: Sute+-orm�OtiO Fev.�O/B) oum�voi I/ ]�1. LOCPiION ISum uW Nunp�r n Purtl Mne N�.v�Grr. CtY w}o..q Sml