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Death Certificate - Waldroup, Larry William_8/1/2004��� • � ' � m �Q3�b��m ' . i , _ . . ;, . 1� =. " •sJ:' �� t �� � ,. �a.-. �� �. } .� i�e�i�' ATIENT10tl E4TATE Tho Sowl ,�, �°j' �m�,."'�:°'� v INDIANA STATE DEPARTMENT OI we,�n �m mae w�e �o w�.ar rw rewm. �J t 4 •'. k: . . � / 20(��F CERTIFICATE OF DEATH State No . ............:.:............ � � No.......� ..w .:................... a � �TNERECOft0.i�1TM55ERE5MECONfOENfIAIiENC1671�f-10 ' � � �flINT ' __�•--� - s.......re . a.s� s �osrc�n� a a�troseun�e...e... - o v� c�� � � Larry William R'aldroup Male '. 12:10 P � uoe 2?, 2004 � D 1m2� •'mawQtulRr�us91 b�a-l�borr AllainirEY1 scuAG�wv sWRnMMU►W.vn ).erttMawC2tMwsls.is�PCe��i -+ .D � y WENT rv�s i.s��i� C INK 93 ''b"' °ji "°" �""" JuW :2, 1950 P�'lncetoo, 1¢diana � m� �.� D�' Y'MI30fII0IXf ■ YF�IIV3I6F11V�N Y 0.IQOQaMIOd w b��eail � Z . • UEV[iEIYM US MYEO f011¢S� n6L�TLL ❑ Yys� � 2 R�C �/I, . Ofi61 � Q tYfpllr � Oi�ISprI�1 _-� D ❑ WUM� � OOI� ❑ 11 ye ��] li�dlTVN�1Ef/iv�Yaw���INa�6t kmr.rw+�a�nc.nwoFOUn� tlLQMYOFOFA}M r y m�� o� SH 57 S:�CH-- 65U"E-= u�.- � -. __- near Macke . . Gibson J SN�� �C�UIi.uSi�:LS ��.BT��+GE:OUSE: isoFCEOBrtS� OCCV�nW�Gwrrd�o+ �AOOP&A�O�M �f�Z<.i t5�si�fiT - -i'�.hM�s�sa' •. a�Ein9s d+4'VY�Obes�lv�0 .rD-00' Married� .- � nitaFulton %�� � - •� IrisvranceAgent . lusunnce&RnlEsmte � J T I fL RSCQ1fF�5i�1E � .•i'CdMY . It dIY.TQNLORIDC�iSN Ikt STIHT.�NDMMEII p 2 y i � c�{I��Je, O o m� IN :.� ; Cibsoo c,..�� �-0kensi�ille '-` � R R li3 Box 71 ��T'' m n j ia mtmE �a �asam:u.ra i. a�:a.� n w�socctotrvrn.�wcaav� �s w�a�...s.�es. �r. ac�e�ramuror� �CIF� J'yw 0:•� murcax�m+ Jyw O.e a�..wv�rGa.. s.awr.s �Sn.dre4AY�v.`uar.0 `tnN– � 766i --: ia�a.sun U.SA: ' �w�Ri�wms�' 6./s! �s`y�U+.f.� � �j r '� E+�r�5or>m�a �� y o o: - w❑�re ` N'hi[e t2 4 Zm.m � �� r.nmsw+cw.�ruue , i�.wonosuuevaras��.r.sti y � oro � Billie Waldroup . - Barban Dossett l� GD� ' . � , � . j zt�OlM m�waru+rawe�r�yw.e xw...uo�mes�cw�..n..e..w.•w...wr.a�.r.:..yacw as�+�.. � m y; Anita Waldroup R R t!3 Buz 71, OwensvillS Iti 47665 Wife � y OS t1��FfM000id5�09ItlM ❑6abw lICWTEYD0.AQOf06D09Iql1U�r/u�sla+m'Y.s Stc.1DGIpI�Cy�sTeR3w Ov�i m ew ❑ t.�� ❑ �.�.�v..s� .w.rei .�.Juu 26', 2004 Princeton IN �'� y ❑ ae�.* ❑ a..c�v,+ lfaple Hill Cemecery . '��' � aaueraw�c m mua�suce�cw • n w�saurwrtronmrom�oru� � O1 rpN Da ' M Gom FD01005271 ❑ w A rn mm; N m i ar ao�• rCn ' w uCD+s.a.ea a n..c.oa6�.wucoct.aaeawM.wawt �nm. x" .m �, """� Colrin Fuoeral Home, Inc FH8300567t � ,� m± FDOt012933 425 NortL Main Street, Princetoo, IN 47670. _� ��� arNrti s�e.�.n.�smpm.i. a.arw w.vrearl�crn�w.ures�...vs �sm�. .�2. �m�.wnbV�t��he�e� snlh' Y�./laww � y 0 . = �=y � ,�.h�� � ISultiple Blunt Tra�ma; MVC� °'wa0� m =p r....m�ee� acro�a�.s.twsaartan•Besulting in• ��� 'm A K "�"�"°�"' , 1.Cervical Fracture 2.Mult�le Bib Fractures � � °m' rer.��w.+.aa� ouromnu�fd�sq�a�Ean.. -- — c �� p. �M�� � 3.7Yansection of Aorta 4.Pulmonary Contusions y ��o �r 01�`0f0R"9•�OiS.GYvsh Lacerations. of Spleen fi z ���Z� a Liver�6.Lacerations�of Co us Callos�m of �Brain � Gy S� r� � M q�lo� uroeaw. Gmv� vaer9 c eae� e� m vwe�+r s� n M� , tl w�5 OEQOA:r . 1s wiK w YR03v' x� w6E u1I0,6� %M�GS �� o m� 7 Fracture of Right Tibia S Fibula � �� ��o�...r a�.o c�,� �� .�.w■�+wro z o g�pelvic� Fractures .osn..rw� n...a � co�no�o�v.rsi �,� m,",-� SECANDABY FINDINGS: A.Atheroselerotic ���>ne Yg . awnn�.�.r m �r�- Cardiovascular Diac¢sc B.Cardiomegal �o Vn m h.G91mfA �canYecnrvSCUi+�tes.rdy�.er.ap..assew...a.n..�..aroe.area.r.a.w.�r Z =O: � � ❑�EAtMORiCfP WLyCrdW�IYle^AMia��f�a<!iw'vr�1�M1YS.OYAVe/�10�YMtWfJYAI. m=' mCO�OrEP QNO�udu�OwWb��Pm��slai�enaMacena�I�Y�m�vO���nweNtaa�WNw�s�n xm; — m�� : . xoe wunac ua mu o� ca�ra� . .. xo� .encu uc4+s wo m. u�n so� un r�+ ..ry3 _ � . O'} !3 O'f =�Z: s �ao�savwaso� cuisto�orwt+aitrx��r�s.�w.e . ' ' _ � �. Riehard A Nickrod , Gfbson Co.�Coroner d2SN. Maio St.,-Prinreron,-IN 67670 C . - �]t.�EKMdi1CFA59GUM� � � . /�� �G' 1t�IENtOWrwOrr.tr� < G— /ti'C� ' /J� 020� m� v wr�ma ourh w oan or wasn ��u .� a �� ia "ewr �r wonc• Na asc�x rar. ruan y uanw....n .un• �.er�a ecedent a ve icle pulled into _! � � � � � �� � � � he athaof a semi trac[or/ ...�..a 06/22/04 12:10 PM Yes rai�er. � - �'E°" w wao%wlh-rb:.�....anm..sfc. ). wufw�+a...«.wr.MiV.w<..w>i.�,m.� ❑ S�a ❑ Cubwf Y W�Y�ls lSSSIII '. �'a°* �� SR� 57 6 CR 650 E vear 2Sackey, Indiana � w o.rtmo�ou+crox.ou�e+.u....+ �. �.oravocu.cccan n.>.w •....i.�a+.n.�r.e...�.... Jime 22, 2004 Yes IIriver � SDHO6-0O4 State Fwm f0170 (R5f1-94) i� � � (ti�- . 1r '� '. ' 9 rY NRA-20 •f (5/03) �'�% 7 VOID IF AL•TEREU GH ERASED - NOT VALID UNLESS�CERTIFIEDIBY±HEALTH,DEPARTMENT