Death Certificate - Williams, Manford L_1/24/2005' A77EN710N ESTATE The Sodal Sewrity t is
��„'-�"; ��ry �„saMe1�;'�„EQ ;s INDIANA STATE DEPARTMENT OF HEALTH
N��ita�ari0 mere wdi be ropenairy foi tusal.
-'�°���''�*� Q % �D � CERTIFICATE OF DEATH
.
_.
-t.oql.No� '
v.�.�. .: ..................
. TME RECARDS W iHIS SERIES ARE CONFI�ENiIAL VER IG 1F37�1-10
� i � oecuxn—ru.� v.vum..t..r
� o �c; Manford L. Williams
D �mS
D T �; T•. •
�...., 76 .�„ a,. �,,,
� O�Z b rv450E¢DU�i Y rEW�LSTSEMOV:
� Z� •US vfTWn'+ US.AIP�FD�JMCES H�y.iLL ❑ 4sss�
(� : _ � YE$ 1.951 ❑ Rl(}sie.+
j(�� yi� 9f FeGTJRFFUEItlinweamV+mwt�+an<eN
�r Tvo: 4�SS.We$�5�. _..
c�� m�<. mu.nms.a*us u.nr+vnNCSCo�.se .:�a:occ
� � O O v�+we« �l ae,.
�" Z �Martied ��µ Nortna Alaier -
�-i��'
_^ 2� Y T'JIW�[5-61�iC f CIXMT" Y CRV.•iOWN.OPLpC1�lry.
�
State No . ............................
SE� 1 i�FOFCFi}M Y OtiFCFpEIMpxw6�rrJ
Male 5:30 A� Januarv 11 2a
�i o.. e o<rz oF en:n iue. o.r. rn �. s�mauE cr�r.ess.> r>A
Au4ust i. 1928 I Owensville IN
L RiQOfCEAiMILMtl.oWe+eSttnctWal
Oie2x ❑ N.�a M1uv ❑ Om� (SOadN
a� rdw�
k CRV.TOVm.piLOUiWVOf�iX . Y CpNrvaFpEl�iH
>= Haubstadt Gibson
Ii5U5U40CCUVa1UN�Gw`nad.an Itm aOOF8U5NE5cM0U5llrv
vmce.aww.m,v�.e.m . :
° o�LL IN Gibson Haubstatlt
p, �mr.
^j IY ZIDCODE I�.NStOE�:NRS t� f�fIZFl:pf �5 wnSCfCEDE)r:OFXSFU�COPof1V?
�l (i (�'� u Ib �i Vn Wrf<iCOIN��� i�
AO� Nn �'vu OM�YGWY�
� n .�%(Ti.��wr _ Yv��raMnl�e�rtl
m v: — .. 47639 , a. �.. - . �;U.SA .� ^�,*�+�+•"r!
t���oj. � `_ �w Gre �.z,
Z A -j +� �:eieoi5 wr.a v.rt �us. �.m
v� � o�� Ncel Williams ..
t� _y-:
j —. � O aa. usOrw++rSY!ME(T�iRrL � am.uati.G
r 1
r �>, � Nortna wlGams
� �' xi� +<rnm o� csoosm+ ❑ u.a..._..+ I:u o.re •na aicc
�i�
o s �_�.w ❑ o..m. ❑ n..�..r,:s�.. n,.a.��
< �� L av.m, ❑ o.-csedn Sts: �
C ='.
.2 N'. Ea uIDa:iElrSru.E � rm E�.dair.EAS
�.n o Alan J. `rVade I FDC
��•
w m � :a w+<TUrEOrvwmi.taKCroa /� ' 1�p.u�
V Z �y'/ / /n _ I<
m--
� ti -�L��
. ItY s„�,..�,,.�
�a!wz—.�s.�wan I ��.occmv+rsmucanon
vu.�.M'M�.[Y IS[�JYwy'1+WwO��aP�
" I t4 MCTIEFS MYf (F�¢ YdLe. M�fm .4iew�l
Edna' Rankins
smrESSCSve�.�axa�p-.oq.sw..ra�w,t'+rrra.cs..zv�an �nc wwa,
415�S..West SC Haubstadt, IN 47639 V�
OFp4NLi6YU4sd<�xry.ee.m�.p I3It lOC1iRAtiCpyTa�w.9��
xx
� ;lanuary 13, 2005
°etec& Paul Cemetery HauDStatlt, IN
r=� �a
� �m; ��"=�v��Y� � fD01017080
� O' x ..n.,- ca.w.i...�.�-......:...�.� .�:�.. ...a �
� `y�p�- n.au�.wn.n+r.a+.��anv^rye�.-u�..nsci � .
T N � l�� `��� :.
(�11 � S O I Pw�I�TE WIY 6�w . � .
,� ' T Z�' m nGm1 D 0t040.5PC 0�
p OA! e
�'� . T n i Cumwv � nM1..na e� . .Fl.F iOIOP�/,lkN('E
(� o � � �. m � rn.ea. w.. .t/�
m �. A. vse e: �.c..ry.a `
(JI rp� �w� OUEiOfOPiSaLd+SEptkNCE
� g�
� �,_'
I] F/SOFP:NFE9�f�F➢:,^,CCq'L�£i�
�� e.ry -
1[ ep}"�S5.4ND IICFT'S� MAB@i Oi Flni.XCl tAn! '' �
Wade Funerel Homer Mc. �-�. 'FH63002?90
P.O. Boz220, 779 South Une SL tlaubstad:,-1N
.......�.�....... � ,.,-.+.�.v
O m� oartr � w+ oam�.. ca�mee�a mincm�o w a.w ew >..w+r w.ua � v.:
C O ' ' _
i (A Q 1 . - ,.�. e_ � . .
K TT'
D —
was oECmD.'r
fvo r
T,.
�mu..e�
ovv ear.
�� Oeaw,•eown
/4Tt.✓i0/
�
Sb WPSPNPUi005 �..�l4 N4E
COFCYtED'`.. � A^V4
Oi OEAT!! (Vn arsl
� 0 m _ No � No � No
.D ���� l9afl.9:FrtA 6m%vMCFl:+9Uerv ian.emd.r�ro»!�awatinem��ec��u�es.u...�aaa.vea,.o� c..«�JUU+ee.
C =�: �O'K�eY) ❑IHP1iNOFRCFR OnYwG�sl�unrm.�Nlv��m GuTOavreen0aun.4'a.t+Cdwa�vM�aMwMalu�sea
n� ertW',w �� mY cOm'
T!� 2�� � COAO�'EP On M sr� J.r.�r..wla w.�nT�"' ^Y o�r 6+� �v eLU v�l u� b X'� toseLl W wne� r meC
'^ L. D C Xe iRf Of� nCFI!t � Kc. �EUC4 t10E':SE M t9e Caif SGM� (.wei M vr-1
ti a z o c� `'� � 01024580 I /— / 4L—.O�
�� �+z.
� �m� nw..+[�wwdasso«xw:�.+ata.unnca:saour�artuas��r,o.m..m
�D o RichaN Gries, M.D. 304 E. Highway 68 HaubStatlt,IN. 47639 ,
��
� � �, ,�.�r���ws�:.,� G. ,/�/�
(� m — � "
� \Zm . r
y �� wi6p N CC.�i�� lr D„L V wM1i� Y� tuK 0/ e. MAp�' C WObi
�D j I4aeAO��.r�r1 V:JUPV ' (In>ml
O'' �[] r:w. G 0.wq I
Wapwa.
� Acoav� ]Y R LCf � NARI—��ne�a Ivn m�t Iww�.Wt�
`Cv'' ❑.'vs� ❑ Ceu a M OJ�.q +a 16Ne.y1 .
:��� 4\l ❑ .a'�cce Dwnrve�
'�.�`-.•i_. titr�.�i
YI. LOCa:ICN {$V K: utl Nv^Cp a Wtl
a:til Z WOe.faN•'OIV�CFDO[BCIwn0.fvrl W.uOiCPVinK:.E<CC'UE1::a�rnv�ml/�vwrlY✓^'�'.wuwv�.pxm.nett
� .L'' �
�L� ��.
Gf`C.�W �: �
SDHOb-00< State For.n 70710 iR5f7�99)
NRA-20
(5/03)
DO`f-��
r��Do`���
0
�
oer[ rr.m�Mw�a ur. r.��
p�j.,y, !N� �S
Gp v io.r. $mel