Death Certificate - Williamson, Bill_11/23/2005,.'_ ,."�
_, <
• � = � ni'reimo
ce�ng reaues:
F�rsue (C sta
rdwtay ex
LOCaI NO.�
""':��a9�"ry "or°�`� INDIANA STATE DEPARTMENT C
�G�LOiGfy. Di3C705uR
����'�rtv� CERTIFICATE OF DEATH
adOs
iHE RECOROS W iMS $EP,ffS ME GONFIDEHTNL PEp IC tGJl :�1� •
rEC[wsEn-wuc E�.mr.um . :. sra
� O � O T'
G YUR LASL SEP.E
OO� Z AU.S.YEIFPA41 V C Y11LC
i � � - Yes Unknowz:
I� � i% R. [AL41ttw11E (MrnNf`.m'IV�Or�l�v �iuvan
�
~= i=� River Oaks Health Caa us
I"'�7 n w G :a. �uvr.�a:nns ,� mx+www�ase
+ 41 ^. f�"✓q P.a.wx.marc
O j Z< Married dalene 1
O ' O G� :n. Rwcnce.er�.e �m :wr,v
(n � L^, indi�n� ibaon
1._ � `�. IDC'Y^E 1L. NSICEC� VYI:6 ♦. UnID�O
1 r � � YON:CO
��A ❑e+o �ve�
��� ib O��[�RYr
�riy=, C7539- no raa C9A
Vt p j . . t:.vt' ..i,
Zm
� � Burnell Williamson
N � C^ :-u usota�'++�2ru�R l�m+'�4
il
� � � �' Ma dalene williamson
� ,•��� :i.uETMOOOV�w+o�a+ ❑Frtxmi.
� _
CI i I ISi�rul �'vammn ❑Nmn.TI�m9Ye
n C: �:.a.�... [j;w. (3ubr1
'v —
� —" .F�BatufRS>u�E
Cj'
? r ICh is Sievers
:. c a �+ ouecraa
VI r � -�
Ci z ���j CI�
2
n > `.
r �� P. i1T1 flblYfa[r� Ye�u
� O C� .�.a .roe a r..: ir... L�
e �?
- = c :n+��.reuusEF.W
- - .ss.�>r�.wn °
n _ O •�++<v��.,..m
� r., z e
Ci � T �nN�mu6ra<� •
� _ C SiNw WenAS � C
_ � _ �
V � � Q
O = � u
n 5 _ . .nezr Y�mmaen ta�norp[cq_•
� N�
Or
C
Z G
ti 4) m,
< m -i
c' r�- � % a.. cer:sun -
� � � �y �ca:uv�NCA.vs:v..
O�
-��i -� " ' ❑ .�*r� awica� co n.
C nT C'JGG91 O�Neruea
Im � .� wY�nr6��O�lI�GOiCGPR1N
1 �
% w
r
-10 n.xuQ+ruaLOaEaOFnenadwrqco�rtaF:F]::1
= z Dr. Lar ut
o� E02 E. O _ Branch
� o a,. KxTMCmc
Z
3� v uzwen aF oe:m w. a.re or �
m � rw�+ or.
2m
�D
� y ❑ xr.0
n�= ��
o�
❑Save ❑CMm4
❑ +r+. oe�"�`°
�y a.iE =na�>i¢en oE�.c �re*n o.r
�� October 31, 2005
\'
�VFa. �.
1`-'�+'
C c:
�O�CGS�
SUteNo_ .........................
rneoroun. �awnaro¢.�TM rw�+asr.n�
YUSfR�GY GY�.YSPlH /Ab..W�.�'rJ
� �
=ch 17.191d
Vpy�
CtM1[P � � �Orti u�.C�1 (]pp)1
.+.ce�wrs�au.aorrw.:r.: �n.an.o. im
m'���OR>a��'auV4.Cbiv M�aVI
ion Steel worker St
crtr.rawar�wunw uc a�-.uo�nrueera
iubstadt 103 Waber Dr"
.�soccccevrorwwurconnn+ ie..xc-+�r+..s�m.�.
�NC ❑Yp (��.4�dI��� Pyv'Als�.
l�++H
w�m �z wai.e.i .
a' k'xyr CwnY�
Illinois
W50ESSYCUS'.Pr
ive Pq Box 186
�). ][fF.Ofx:SE➢�X/�i�a�:
(s'�/I�s�V�e Va+�sO
e•��.�+nt»a n.w
8
:/a[I�48(3C�Mev'I4R'�s.W�IISRl4�b.Cl�v:o�l4an.Sb[MI Xk RRII
x 184 Haubstadt II7 47639- Wif�
'Jf06GOmT161/W�d,a�vr�.e��v�.s }'c L'FlTICM-CqoTwr�,4�
2� 2��J
� e�suc�+seno
os00003s
:�G UCFNSENW6E11 a H.WE.VTI1E55./�MUCE3M.'�0FP0
r:.�� coxr:a pi:nacai noce
5:: enoadway
09000039 �� � � �
an-':e..in��x..00�ae�..�sovncvma++c.n sc>.r_�i-..
� � vt.M/'lVt7V�[�
a.c r ro�++a �;crvsECVCrce oFY.
a.E r� r? �s A cawsEtt4itE oir
�nae cur rersoa:en re esa+Fn:
Q N: �I Y�f
^ ETCIJ9.L5[CCM',£t,YIE)GECFI'
InQiHR3
im�.a+e.
� . cp.+«n
�s��
a�.nwmc�.o�mrme.o.f� n.v:iso[cT�Er. m.w�ssw.u:;y• �wE@.vTOVt.rocs�s
wewun:�wurs �acnu¢r +v�unEwna+:o
�+-"iP�+'%� �r..s,y WuREit�NOFff.USE
r...v.�r ycE,:.n nn>Rv
_ __. No� - No Nn
to e m a mr �. ae am.�n v v. i..e. �...a w*..0 a. u n cwn>) c swn
ta�d�mwM 4'oAVFybyl'tl^�I�O�I]uP�e-[CYOeY�v.JY�.WPV.tltlMbGSO�t3�OLle:.
' F.R.Sp1�M.n tRVI �L4W.0N.atl6�'+.WaebPe'J�MfIMm�wniltrf
_ . . _ / � �"'1 / . � `.��r �. �. �r.r� �u• w n��c ����m.�r� n.� r..�
ve mor sn w..rv�rwov.:>
t�w. M+>ml
v. a,arEO�v:xm—Nnane.'xnr�eee
ua�v5, rs. rso�d.l
a:.
fJC::CH fY.+m:asuvu e.-. Gn r4m.�. C+Ya rc.-. Y.�1
wM w. .o:On �ouue u:1sJ+'� n.. o m� in. ra� mw..H+wtr..+.a��n wc
No
..+�
�
y,._ .o-, . .�,_....- ,�..._ .-...,,- .._� -..._.. . _""_
f�-„VOIQ ff A�iEHED-0R'ERRSm,zRQEYAW UN�E33 CEHi1Flm BY HFJIITFID� .,__�,