No preview available
Death Certificate - White, Lela Ellen_11/5/2007� arrerinor+ eslnre:me saaai sea,dry e �, � ?a^9�����'�''R�'���"�' "°'�"° 'NDIANA STATE DEPARTMENT . pursuei6stztutoryresP�iWity. Discbsureu• vodm;ary`aname�� j+r be�o m� ret�sa� CERTIFICATE OF DEATH _� '- �`' (/�'.��U� Local No:.. -��`^� TME RECORDS W TMIS SERIES ME CONFIOENTIAI PER IL i6J14-10 t. JE:FJSE0.14YE (FN. Yafe.l�N ]. SEF � D �m� a.eia z���., ..,.�..� -i D V m.rEwusr_v�.nw O C' � Z •usr_.�un us.uuaoreaccr _.esP±tu� ❑ ,-..-_ C m. �2� y � NO N/A 1� J A fA�YlYE f=MIt4MTiASYMxlNF'JM 1 �_ . � Tinn•d18 E. Walnut I S 41 � 10. WfiIT:.LSTA'.Il$ 11. SLRVM1M1YGSPOIISE V. 1 V r Z C� !�) 1>.rs.a+ �enrvrcl Q � O O Ma=r-:ed Jaaes Albezt White Ow O y�_ I]a. T_56hNCE-S.��E I:E CUM1Y tY. Lh.T\\`IOF�CGiIC � � 0 m. `Indiana Cibcon -Ovcnsvillo _ m() ix. vocxe in. ins�cecinuuin +.. unzer+or swuoeccoErrrcvru;vu �� i 088915� Stale No ........................... m. wre cc oewTn cvr.n. a.. rr.� ale � 4:29 Pf e. o�iE cs eaiH Iw. Dar. �+1 eovesber 26.1529 o=rn p�::.�rv �+�+ pm.. ts,�am . � �_� ..� owensvilte t2t:CUfA1�iVYlYUAW�iFw rF��nJM� IbX 6/19 mP4tl e'tnJY!- Lb M 9.TiW � n ���• ❑ No � vee wiureou+:rm � No ❑ vee nn..+a.�+�c�m.n m y 4i U= �19. On � Famn �✓a+tn vuav Pm ercl N o j 37665- Ho ro USA n^ 'iev<:�xsruue rF:e.wet.�no �� <n y o O� Arthur Tisdale ? m C m�. w'cru�+rs w.uE Rn.A.Y1 d 1 A F c W r � � Janes Albert White 1'A. $.nEReND � Gibson � rtFO W OWV�C]n/N3irt�' ia. c.+-� .ac<:unn:..a n. oECEOVi+newe�twr. dawve.ac. f$.orymyr.Ten>eeemmeeq I5.^"aY) Ei��iSeme�ryNfA Cae:�lt+«5•) Wt11 tP 12 (4we+eM.msslCrahveromr,�+rv:cM,s.�n.zoeasl Me Ra�a�cns^va nvt Owensville, IN 47665- „___�__� O S n. ert:�ao�ns+c�v:�a+ ❑�-_mm,en iu. wre.nvawceovois.'osna+Ow,� � �1 O� ���.y ��,,,,,, ❑w,p.yc��.0 September 12,.2007 �= ��,.,,,a, .�c.,..�,�.m 6urial Columbia Cemete T Zi 331 EM?F11L'ft5luuE iD EvB�W£45tKEn5ENJ. rv N,.�� Rar.dall K. Dike FD01010177 � (A:^I ]�iY .Ji'P�FILVEfULWFECT6P N].IICFM�EM1V4 y � ' 1 pruwnw/ ' m -n � m R, " v � / �� FDO1010: �<�. .v.�x:i Fr+am.amm.%M1nes.nenyan�'mivuarroxvxxan.eo�uemerm�voecrcm 0 .<J_ ��R9.ilUl.RM�'IW'Jl.La9MYpquulMtKnk(�. .rYr.� �nc�ounw-ur W/,SCE.�iHR'_P�Cfl1iEJ' iOCOR0.'F_Pi � NO I4 Yt5 Ert :s w.we.�ess,�v:ouce'+sei.vuffxo=ru�nairrovt F3oldezs e^.H. o£ Gibson Co. IneF989000021 ']% 319 Sou[h Nain St.,Owensville,Indiana C7665 0. S.LI� �f UNY [! ICW>'� R[V'.+Inile trleMl Beleen� C �c Gem ti C �+ ?�, ��,,«.,,�i,w Skull Fractures. Brain Contusions. Subarachnoid- � =O Cxaseaw"m a� WftO(JF/S�CpbFOUF.KFCFj' � � Z�+°�v Hemorrhage. Laceration of Corpus Callosum. Q o a o 1; �m � ax�o�n�e�ca.�ewencean. T � [aYSS.<�n1.�9+`< n �p-.m.,».�.�o� Interventricular Aemor:hage. Conpression Fracture- m .'J'9Y+VC ufsl�u9 4 qIETOIJP.I>(AAEdVENCECFi 4� � O [ax�a - ° � Z a of T3 Thoracic Vertebra./B1unt Trauu�a due to Fall. z n ti O fnT GMTO Wcy'r^'��m�ben�CaWwt�V�aCCL1vaMP� ±NiWNn»nl_ __ :]. VIASOECEOE`R_ _.`1a. WR544FNCP5V PREWIr.viM40P�Y5 vEFFC?1.LD'/ mm ZO�' >omu+tuvr fves>m) y m � : (refe'�rel K y � n Yes YhjiE.U::� F➢IDItGS _ . � I.VMABIF iA�JX TO COMPLEiIDN OF CAUSE o�o�.� Nsuml 41 O O 'ni. CFA:uiEa ; yT ��.i,o,� ❑CEJt�IfTUGPHYSiCIN� Tawoead.rY��a.�eaOe.EC+maaurteC9�>itro.aa�r.�ia0�.aed.envsoiae(s�u4ned. -a = -i oxl � �_ ❑r�xiHOfs�cEF on�xe.snue.m�i�.xnw:wlr�ecqauan.'nm�'ao-�+.orwow.ma��xu-e.<ne.��Cqxe.wn.Nm.euRlasva�m. T2 � ]� � �+Nt��+.�arv�wnxnbmeetam� hmrwiP'_MMOmem].a1N[6M.U:e.a'^.tlxo.upUU<IOL%fRfNSliv�aai.�ena n .�9. SIGWiVR`_MDTIilECFCEFiiFIfP >� 2 0 ' � ���:...-�� � i ,.—� — � z.m we�aess�aewsor��.aeo��reoe.useaocn;,�n�un� �LVh+* mo Itichard D. Hickrod - Gib n-County Coroa D � 425 Iiorth Main Street, �ncetoa„ IN /�7E � �:. µ],�iXCiFlCEiSLG.VNiE . . � � n T !]. V?N`ER CF GE/ iM Y�. GTF L� INJUNY 3,0- TtME CF ? v i.am wr. re+� - ....,.�. . > � ap roa. Z S ❑ rauvv ❑ ��`o (� o �,.� 09/O8/2007 3:4 PM � ° @"��tl ve.ouceaf�un,m—A:nare.larm.sVeeLl ❑ �... ❑ �w c��m��e. w�. 6....y� �N� on�� At home W�[:A:IICFA5Ef�0. ]N.d.i251L�E0( Oa�YeaJ 09 /a�aoo� . CLV0.1/,iYA0.<i r���� " No Fa11 doan basenent staics. r �.i. ouna+ismnrervv�vs>awm.n�.v.�ea-.arv'mvan �iR F.aat Sdalnut St:eet pv.ensville, Indi2na Ye� __� ]t�.Y�-Rtd'MINCmOFMf.'MRM.YUii Yn.MOTOR�xO.EnCCICEMi� (vnv.W1 lKi9b�lo.w.Wm'�.N<s�tec. � - September 8, 2007 No '3 e or•n ��' /_ ` ��;t _'�+` v:' NFA-20 '.;=ti� � (5/Q3) .. _ I 1 ' I I' I 1 1 1: I'