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Death Certificate - Whitney, Mildred_4/22/1988,- PER` VAL REPRESENTATZVE'S'DEED - a_ �yV � � - FFICIAI. COFY � _ a�g` � MARION COUNTY HE?.LTH DEPj�RT!•1FNT CERTIFICAi� OF DEATH-222 E. OEiIO ST. calNo . ............................ It7DIAN?.�'OLIS, IN 46204 . _ .. ... -- ---�'-----' (PE/PRIP�T � OE:E�SE.-niuE ��nsr ��.xe i,s� �N Belva Mildred t:hi[neY . .. US ��4J_�YCES+ .OY%LL N (3 w'°" on r.wn...,4 � �..,.�, v,- e....d..,s.� CED:N7 S[. Vincenc's Hos ital �a WH:LLSI�TUS-WrrW ��.suav�vwsrousc Nwr 4�r�a wm-K u.I� T nrN+ �nv1 a.q�.e uo.dr� . d d �✓- ., � c �> »�:Y �---- .�C� � State No . ..........................�� IUe•T 19: t SEa ] J��EO'OEa�ntia�.., �- femal Aoril 8. 1982 C ] B�P:�R�GElCqNS:�'rrF>W'-�>� Il Owensville. Indianar ❑ DO� Iv.nan ❑ r+vr`O�w+ � N�Wr� ll Omr!$oKryl x Cm. row�, y�oc.::o.. w u.n� � sa counr` o� oc.:n Indianaoolis Marion ia �cmwrs usuu occw<r�cw im Kwo a eus.ttssr�+ws:+� lGe �ne d.o+ bv iw�C +ed d�aeq �M1 Mrvis/�O'Ml _ . �...... � i owe iL FELOC�CE-S��iE �b COUF;v ix. C�iT.iOVna.O>iOC�� �b Si�EF.nOM1uBFA � Indiana Marion Indianapolis 5311 Hallwood Court � i3� v+S�CE CR" �L �al4 �h ��° =00E �� '��-5'.�ECEDEn� O� ^'Y��C OAfJV+ �5 MCE-��.�c+^ W+� �b �ECEDFNi 5 E�UC�� F _�u�i5+t.a>.ro1 luvrclyNO>r�.rr+�hCwn B4c•.wve.�rt <So-c�rW .n..d.cmv.n6 C .. a.r_ � c: �:u ^".. �'o«M e •>/s.co�w�� ic.�n i two� r.. o s��- Yes No 46254 50^'� Whi[e 11 ^ �) v.;i�fswcv.nwm.:.ua �e w.K�sn..alF.cws..wMS..*.md - �"`"i5 Harr Crow Lena Sharp � Y wsJ��TS NuE flM�➢�C ( � 90 u�R�+G � WK55 t5v�n �+e MnE� o M Po�t� M.�a� GY e Te.n 5a� Zc Cod1 � Oe iM�ewo :- FO����T 5311 Hallvood Court-Indianapolis. In.46 54 Dau hcer. Martha Sue Emmerson � m,�(�EfnW 0% 0.�JOVMY� ]On. D�'F aHD Rntt O• d5�05�10u (�L+v d c..wsY. o�+YO'�. e Y�c LOC�S�ON-GY a ie�. Sm. ` LY &rui ❑ G�rvron ❑ Rrw� bn Sm oNw' dre�l _ � ��� �o„�i�., Maumee Cemetery O�ensville, Indiana � i5?OSITION - � xta SKS+�i�fiE 0F M�EiUI WECtON � }ID :KfSE �+UU9Ea YS n/��.E �D0455 ��+C:iCEM1St . L�BFA Of FUNF+UL nO�E K iy:fr.«, Holder's Funeral Home FDH 3005427_ FDE1002338 319 S: Main Owensville, Ind. a �OUNqNG - ,... ».-, „+r i�. re a. a.. d mr �-'da. �..u: «c�..w ... �../�a.ro r.�. .�.a �m uerwse �+uuaFn xx oart s..xn � H iICI:.N ONL �"' `�'��"� "'''°`�" - -' JI I1 ��] /�//� �/ /��/�( I(��r�/� �J , � + `7� nw�.We�-�v.�dwN �rdTU<��J,�/�}'�JV'�'v"-' -`-'"_V, � I/U� � � d' pt�il) d]�E� $'PY1V � Tr.6 x�.m u SL E ����ITD Bv 7y we5 CaSE?F"_9X'J i0 ME'J�C�L E%nwu+EiGOR�EQ' :: 1�. Tn.E 0� JEt;w 1S ��:E >'q�+IX1hCFD ^fA`J tuorc D.r. Yw1 IYr� n m) \� _ 'A50^� w+U 1 qo.;�v�ce;oc.;!� 11:50 Pw April 8; 1988 � e:o.cem. ea _nsea o.:..e. �e �a .+. ev m a erro .uc-.. vm.c « nvrs�r �ae-,� . I l� vUR t '_�av ti a.u+.a ^t» ^' � - _ ' �sv. 3e•w.�: na Y+oc� a+w. l�✓�'..� v%r on uuw m rcn ti. P.� re Oa� mrr e cvaa+� �•�vV � e.s�l II w5�41Cn0i+S ' Spu�d� 1� mdv� ( Inr.'�<o.�.�aa � Uvu'_+�V�.E.iVNG C�USE �'_".o�.. v �wy x rca.e ...a r.wmK n as�l'✓ST 0 3 DUE iOlOn e5 a CONSEpUE�'CE Oi1 DuE :O roA s5 a CJ�SEJUFhCE 0'> IXIE �O :OA �5 � CO�+SEOUE*CE On 0 �GVS_ OF >�n: a on. . W..�+ �o,ea�. _�cwac u w+. w�a �..wc � vv vw.�rro c�. �..�. � an i te. w�5 u: <uro>5v / vE30w�EJ1 ��i.il� � )i I ^ '`.S/ Ivwerol l MJ � No ,ly 4J o i �� ]9� CFATiGEa �yEv:�'WG a`vS�C�aN tp�>Y�:.W^C :ir d o.e .w�. �roer Nlr.cr+w avvicn arAw ceroR.a �.,� IA SLC I ICIV4oH �CC . INS i"nUCTIONS e.� re w e.. a mr ���w a.s�:n.�.a a. m n. u.r�:.e.,.�.�... ..sa CEr±i fflFil HEe! TH OFFIC67 MqNOV�CwG u+D CFFiivr+G wnS�GU: Wryr." as.>vencro erCi n0 cNntl ur d MT) ro e. a+ d m�-� e.s «Y..+a . m..,... e� .a aw .�a s. e ru w�.�a .�..�... mre C iea v.._!c.�::ir�a....�..i.� � �vsM1P9lE �� i0 . LO�?F.id+O� C�l'SE pi CE/.Tlrt 1 v� e�d ❑ .cc+cx �...e.�n O Co«o�,tA ❑ rc.irn oACw P�» e.� d.,r.� �!v �+r�� ^"� ava ae m..a � e. ew aw �a o�. � v e wr �l.re+.r.� u rta6 ion va:. �vE ..o nnc o� crn� n , � �n uc .mcss a wa� ww c«�� v.us¢ o� x.n, o�eM in �+,,.++a �t, 4 M L A�D 1�.J (v✓� a. o �c�� uJ. S� �"� n .c.:;N �rsm vcr.;u�c t — ]3 WNE=.(Y�f/�iw COFONEA OR � i+�.� � °�"°�n MEDICp.L O �m�� ��� Oh'LY�hEA USE ❑ ` __ ❑ �� e �. ..� � �+ lu D�R J� - Ne r�uE t ILaO� fY). ��1 NAIM ]YC UGUH M.�BfA A6 O�iE -�Y. r.�I a `7 � o � ��'`�g T,U i)PL.S, L rJ i� V � LG O i� 0� iE �l:D tu�n :..� +..i APR 1 9 1988 +�N9v 1t WON(t I LC CESCA6F KJW wNM OCCUREO Iv�erol w 0.�f1 0� w�uav_u K.. �rn ra �.eo-.. a'c. I v. �oC��� t5..w.�e r+v�e. v w� rw...w�o._ �n >•o-^ A• �oy .� �Sa.cM 59N06-JW Sun Form 10110 (R/IOE7) °t'0"''`�' �����j �� �,�('�V-� � � 1 �'�q `C�. ���� ��