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Death Certificate - Yeast, Charles William_9/24/1984• • e � �I.or.al Nu . .......................... rrR Otc[45[o-xw4E �+�i . •m� y[t 6!� O�li O� O(�tw�uo�n� u�..�.p ; . o"�"'", , . . Chnrlea .' William - ' •-Yeasti: . .. . . � :, M �- ,. .1-28-�9 �,.• rcer�x[xr � . . . . , '.' ' - rIN4 MCIti�� wr,4�ey.� w w0[ � a w.wM Wm[II I YNP UNIXP 1 MT DAtE Of UPTXK.M nJ '�. .COUMiV 01 DkA1M '. � �,�„`��.s 4fi�'te 57 . .�. , e... ' �,,.. r., . 4c22-21`_ - - � Placion� �- - • :' ut '. � . e.. as ��j k. i� �•. " _ "1: n� i..., . : MANPoOO( OIY.�(M'NOI�IOCAiIOryWD(AIN ' ' NO6NLKMOIM[IIWLIIiYIIO11-1��rpyr .A � - 1 .. IiNOS�O�11N9/w1rwpy ; • . . ��- .Indianupolie '{, �;;, '' ,VA'.'Medic�l Center r `:� i,„'M�,,�3�^t�, °'`j�rPa�;%n[' � •: . •... . . . .. , ... . . . qa ,r . � � . • .n �'.. ,� � = . . ` W4f lli pP1M .��� � � �IiQEN Oi WINT COUMf�� ���, MM�IFO, NNEM MAqNED" ' YURVMMO SqYSE• . w � `... w �/ W46 D�,RCtxt ry(� M U 9. �� �DECEASED 1.' ��1' „ . . ...'i.� .µlppWED.UNOPC[DU..wr � . {�s �I _ M4fDf0�yl41.��7i... �� t; ! Je:• In."': .lr '� �� USA :>�; �o'Never Marrie ,;� .ii �- �i�� � _ '�� _ „";" ,�;Xes� � . � �- • , :lV. �4 i.' ;N ` 60LYL{ECUb1YMUN0EP �' '�lu �� ,Y`.r U&MIOCNP�'IOM�c ' �....�..i.� r i� SINOWCUSW[SYOPINOVLIPY �� ��R Ty •• ` i1.. :ii.. - � �,.. '�303 28 08' 23 �r� . t� -'�� ...�.".�t-i�Deputy,'Sheriff 4!'f.��':{ f ;, ti � F �.:.�P,���"'��,'�'. i i'w.vwnes�ouvcE �. — 1 `� .CiOVCI'll.'12!'1 � . � vmrnco:caNCO• �t��[sarvc[ n�rey a�M' COUMIY�3r. I t�i;� .tlIYTOWMOPIOCI�TOM' 1� TI•�; � 'rt».IIA j� �f- -' t. a� +-ii� .i� ;—_ �.�tMa�uoEwn� � �� r� � a �`4 {. :+otann[ow �� "•¢�='In 9 `F:'��— •` C'Gibson'.�� � : �..,FC�'Arench' t4-: .+� `l.,.,..7 .^{� %1�`.�Y!� ..:I� 6;wnmuno�.wv[. lu..., .e ',�.... ��u.."�.. .t �.'�x"� •<: � � �a.w.�� . ,.n�1•'�+.���..- , . . � .. . � .... . .. . � .IIESNCNCF![Fp11E � �MfiT IJ10 NUMOfR' • .. ... , ' ry . � ' � 1 y i -, p, ' IS 11[O�DENC! ON � fMMI �.•' � � � � � ! M90f CrtV 4MIfS ,y • � — ' �OMISSIDN. . i. "f� .�"�l: I Y .. i.!. t4. ;-� �� d1�J�3'S.,�Main�. i•l,�j' +�. � :9'! 1y.. 1.:. t� � 4.• '•�%.' ���( �4 �.�tw.. mnyih��+n�4i: ! � �1 ✓.. �1lC �_� .; '�• '��:•' .+. . ..f ,.. ' 1W.' -R9❑ .MOIJ " � �6L•� ' � (�'" 9 U[CG6F0 Oi b��NiSM DflCEMI l� Yfi 6RM' MfIIGN, CUWx, ftIEItlO ��4N. EIC.• ' ' ' ., � j. 7. �� e •, , �b 1 r[a O -xu L'� � _ .. � . . �'. � . - . _ ' " ' "� Y . � ...- ;'t.'�'�.�.\��,'�'i�, fA�MR-w4E �. .��s Lron� . .un� 'YDIIIER-WYO[NIMME.>� i.rw�� - wemu._..�.�.. uu. i.'!PARENTB '.. �: ��Elba ^�t � .t�t:.- ..Yeast. �'i_... . . , Loctist St Ft.,'➢rarrh L � Fii Y� .�-..w��...+.w....... -w.. � ' - ow�t1M�[o,.r.ew�i ' ' �ainaDU�n � • : 2 , � o.�,.�... �c <<."" :',��: ++- ; � _ � .�•, - �.. .,IQ :�d� °2,c34P `�" „ � 1_. �i.. .. � j�_. so...�� rt. � � ;,."J H��ar- � 28' �� `I � r � M � � MI�ME OI ATiFNMqG MKINU � r mm � . . � . . — i� on rt .�' � .�Y . .�. . . �,�.. � 7kv �6 � v< < � `t � II -.1 '�' i � F rt.o.o.;�* � :i„, j Frank�J �Green � M . D �.� + ; � - , �l�i. :M � .l i _! .+�li i. .',: 1f i. 1. .11:...! INDIANA STATE BOARD OI' IiEALTH . MEDICAL CERTIF'�ICATE OF DEATH ��`a �� ... : .; _ , ,� MrM W1 , ..+u �o f � � ... .° �J. �e�_:,.,1�� h'�d f „ �t7 r` �i�i ' li � < < `�., . � ]l � wub n cwv ... ��w...t�ln � 12.�. 4`5.:., �?. .�ll..` i' r•m.1e ; ty:;CARUIIIC ARREST T�� t' 1, d.:.i�"�� ouianu �o-srn+.na�.� ',n..!"i.ii ti, �' .�"„. �"�, �,RHNAI. FAILURE t ^^ � (T��rwmo+u eauou.c�n.._.�b.�. Yc.;,��'• z t �,;,� � , �ADULTy ONSET ,DIABE' i 'rui'.� n. raar.mm��m.d.r., r .. ' " ?��. ' (1� `;CONGESTIVS HEAH' �'9jsaHOaro3 .1'`:.:ti . I...y:ll...,..1;... ,te}^ntv.imn•. "�.r.�..".,..,..,. , ,� - ,:�- � NOT:,VAL�ID ,UNL'ESS,;MACHINI rM . . . �. � _. .. .. . . ' .;�1� ii.°.'RI �.. � >�.. ��.....� . . ��i�... . i Bt -,�;Indianapolie; In ..?46202 � ^� �.,- �•=,�'• " .� ' - . . .' . - wn a�cuvm e. �ocu �cuih asKE� �"�� �''�,��''9� e_�� � �»"-�.,AN 3 1 197�• ; ' OM[W r/ MNIN.YO / .. �7 , �i.'rl�� ..t ,.}1 \. •f ' � _ .1 �. l.� .. ' ' " �.i• ,n� �1 dw7�i rfl ii . i' i�� 'of {'. � ..rt!� t.;,,x„���, .. ir, .t.. �{ '.c ,0 :� �:. � . . . ae i � '_tt.. {�{� �-7 :.. ' - �' Y� 'i . .-u. . .,.� CIfUS fi= lt Y� It, 's � '� , �... w„ w•�' � �. j. . ,wo... �..........« RHa t : �°` — — :�._ , _,; =� ,:, - �ND :,:;il ',.i;.'- ;_ . . ... .. . .. . . . � . _ -. RED=AND:SIGd1ED� 41I1H MUITICQLOR RIBBON OP! THE REVERSE SID' : .,._,,,.. .