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Death Certificate - Wallace, Elam_6/10/2011i151S AN OFFICIAL COPY OF HECOHU OF OEATH. ORIGINAL COP.Y ON FlLE AT THIS COUNTY'S HEALTH OEPAflTMENT � :.- �`?'°g . ti � ur��'Yt : J z 1 . - -T�£$: �r��a. �yRV`�:. �Sx �'3f �4�;p_- � _�!i as .. �)vn: K,� _ d...�^.. .. . . . _ �:::'-�: . .. . _ . '�+.�•.1.—'� . _ .' '!�_=s • ��xraN �rare:�n;e sode� sea,ri�s �s • _,.��,°��,,n�',,, ��,�N�;� � INOIANA STATE DEPARTMENT OF HEALTH ._: �,mw�ary�,,,�re „� e� �o a��i m� ren,u,. - 01-/ d�G CERTIFICATE OF DEATH rLocal No . .......... ....................... -� � � iNE HECORO5IN 7HI5 5E�7IES ME C0�10EM1AL PER IC 1637-:-t0 ?RINT �. �.s,.� s.s �.n. � Elam ftae N'allace ' �?O-� i ; ��?NEN' T,�� N C INK � � � fYF ; Z �,.� Z � I � j ��S-�i R ,__m�r � t'�^ rn � �00 QXy� Omm= �;n � nCi �z- v�m'-' mo�. C��-1 i z�m, 4: 7�irj: j � C � Ali _ m > �+ r � n -r �n e� < ' C � �WN Z �, r�- m n N Rl mZ = �� > � in = CC� O < Z -� -i O �; - N � m 2 IF a ' O n 47 � � y � �''1 � aZ Z ] i7 � O y � mm 0 `z No �� m � cs n z, ,� � � ` ( T � � = T N \ T T1 � 1 m� ��>m` r� r0 � Z m �' ��o � �� 3� m= m 1 r J � � r �L>: v� t:� : ��-�t± NRA-20 • � �' ee ruaU5r5E�IDw US ua� W�.SI �/� � ae varyrvwucv�ae.�memaY.w..e�ae.n Gibson Cener.�l Hospital 10 �RiLL5T1tU$ 11.511XN191L$R'.U$E 4so.�m u.+.a+�aea. Ntarrie4 Wanda R �nelm �s i[sue+cc�r.*e �s counn IN Gibson �a a<oa �: wso�cmu.*a �� arm++or � W O Y� WMdi{Q{yY}I � i 666 ��s or' • �us^ U.S.A. �1ale 087316 October 12. 1933 vu1:n mwrzaroE/.rnuasxni A31 � February10,2006 Posey Counn�,Indiana rtlSaTLL V�m� OTE11 ❑ N�rqeer 0 Qrr(Sps/yt ❑ ENPCw� ❑ �W � Il�a�o a�an.rrnm.onioc..na+oFOUn� sacauNno� Princeton Cibson �y acmeirsuwuoc:.�nxra+<o..e.e✓.w �a moosaus m..wro�.a.sw�.�l,wu...e.m - Farmer Agriculturc ixcrtr.rowr+.a�wcn:rox - ix5�ru+or+waEa � Patoka � R R�I Boz 190 - �S.Wr�SCECFDfIlfOib��MfONClII IIMGf—Awv�YM I).�CCFOWYS��T�`l� j� W � 1n 0 yw Nc�1 GL &�ti. NTn. wt. 150wyYe'�f A'� Ob Wv9 .�.wrewmc� �/N o.�rmr/SRw.vo-�a Cerau.e White 7? �s r.rrswaw.�svri..miun �...or.vn.u..ev.a..vw.e�m.s.n Archabald Wallace Nova �Viggins a►vso�rsw[�rroyw.0 . tm�.uarc+ua�.ssc.m�.ew,s.>w.r�erw.,e..cer>ro.ns.azsrme zza.�onu�' Wauda «'allace R R Yt Box 190. Pataka. L\ 47666 Wife t�. tiEfMOOOGOi909nM l: Em�n.n � ww ❑ ti.sa ❑ n..e.r r.oe se ❑ a,�, 0 ati �sw�r� .. e�a .=xe+urt John \Y �Velis FZ'� :.^_�ir._i:liC:ia �. :iL•::1 ]�C O�TE.4D cUCE OF O�OSilION INn� N�vr. e�^�n'r. a ,a.,.�., Feb 13, 2006 Becl:er Cemeterv z�� oc�nor1-p.o. ra.n sm Patola I\ ffi fl6LLAEF5 LkBSE MO 3] W�5 C41M VEPOFfm t0 COAGEIi� rnoiaa9vao � � a �.• tN LICWSEMLBfA II NNEAOO�CaM1NDlICF16[!4RlF)IOFHR16UlXCME `°"°�' Colvin Fuoeral Home, Inc. FH83005671 FD01013010 425 North ti7ain Streey Princeton. I\ 476;0= 1! PYRI E+rC�iaaMRpd'T� NtaM1NOY�Oartltvrou}d<W�natl�vus[vrvRiY inl/RkaMIW�LtlMhv+u/a�{m'��KL1ti `1 `) H'J� �j `��Y��/ Y�1EDI�TE C.AUSE 6w � � �) ' V �- V '� �i � �� W � n w�ml GO�mR I Nv. �sA Pn ry 0 O� a�aOb [aY. `wvrq M uW�p b P q.E TO WI1 /5l COA'4pIkTKE M � OtF i010N IlS � Cpt44�(@!CE OA ��COe�e YYrvY9p�n GYMM I�R: u 0�r �Wcw <awwi�. Cmnm�� are� Oui �v awwl o�a n am � ]I w4S CECfi�fl.'r 4 w.�5 tM �UiO?SY 3G! nHE i11:0V5r FVY1e:C5 Se 1 Z ti1'�� iS G-1' � 7 �� y P e.� i-f'7l3 R°^�wn. ai uo w.s � vesa.m+ .v....� wwn,a t \.SKC�srS �'jaosrv+muu, <r.>,„i cau�iaorcwsE �.SCrIY�"rti�. E-�-zU�' +D �...�..� e.o�. �..�»� \o �O o ]►GH�tF�EP mfDrtRYe+GCMR"./J: :ewe.vda�waTarnocc�+�.a�ewen.m.meur .me.ms�uvWlrwe t�fi PM �r GlHa:l}NOfF1GEP. OC[Y�YYdYiM1V1Y0/RM�lT�1OI(PAtl�WLtKmftleLLW.C4WLYLIWGYOMfY✓JIY�Sp. _ __ ❑CAPON81 Oney�bmd�i�mraiw/a+wNrom`�,nreo�cnernxan�a�u�amam�redcirawmwuw4leaw+ruem e S��iW1F uA nnE Of . CL �(,le v H�w[ ue �mMSS ot GEUSa+N+w coua.E'ID uuSE o: oF�rh arw:v �rry✓w.e Ramesb Patcl :�1D l05 N.'_nd Are., Princeton, f\ 47670- _ :� �axtx oar.�ns soun;� u.e�+eA or ourn W r.w� ❑ a��a ❑ 400.n ""� G i�cb ❑ GPiO tP C� �w�wrl ❑ Hunen tw. OwtF 9o�cn <uam ay. r..� c�EE � �C oarc fl� wve� a,. ..N w o�� oF.umr (.w :uE a :u uwm ar wom+ �.s ccscaxc now...nim ocwwEn - <wvtOy rrl wJl,ar trnarol )40{1„'FOFp�Yylqnls�n.RMtf�cC+).MCI SYLOf1il(MI(SbYatlt�rt>tlWY�YW�OV.G�biaw�$tlnl �4 K lSq�Il1 ]�p DIiE GNONOVNCQ OEI�D (1bTt Qry. YM � lN 4pTOq VE10QE I.CLY%Ni� Ivn n�vJ tl Na usly bM1w. our�w.OKMr� Mc �...�..�i.n, c._...c..._.n..n.eci.�.�..