Death Certificate - Riley, Dolores_3/26/2013 INDIANA STATE DEPARTMENT OF HEALTH
.•44'(,.. 4 CERTIFICATE OF DEATH 1•Local No 0000..4. _ State No.....�11..,3.._,C_3.0 _ I
5.ie..L.W Peu1n,nse4M! .I..,.,L Mr(eFoal - ..i 71_ „meaora, . maaonaaa+o3Fy�
Dolores D.Riley Thompson Female 10:45 AM May 19,2009
�e•s e0 ea In twaan❑ ❑ravn 0 xon C..fltreOtne.0D. m,s4 0 �° 0Deno. a.gavrra ,. Cre
,d. ❑o .
rmen
II F a.ar.a.a_u.b.aAa....e.,
Gibson General Hospital SNF - I
u COO To..65e.ma atm. v`wnya0I - 1, SinsOn A Toed Den
•Princeton Gibson X ❑Ir &a Stall aDiona I
is erns ey.e.,Ins u. (t w..p..u..i Laa..a. ' ;:X t. t.u..°moan. V...a a a..s*e.ny
Robed Riley I , Y Factory Worker (Manufacturing
e
w P• vr _yea Iva Cu -.N :MG.on tl
IN Gibson - Princeton I
. :e ,
it 6..r Atl YSbr -- - t AS rK W.lO fd. L. run Lanni
701 N.Hall St 47670 I '- c'°
'la 3•41.•a.e ■ 30 O.oL.ci a eOy. - It 6misl.fw
Primary 11 No White I
V.nfe•M.:.W4.inn in )a'inn enne- fL3aayy in) TY ,.6.7.YY.ntir6a..
•
•
Unknown Freda Rotremel Smith •
Robert Riley Husband 701 N .Hall St.,Princeton,IN,47670 i
i•
n.Fn.,,Canter%
r Nerves Byuv,_ to in 01 nen.as.Olean Conlon Ona en/-, Sc.Loon ey.Toa Ad Son
gB: OOna,❑Com O Ennis.
gone Fen Sete Columbia"White Church Cemeteiry..
; Princeton IN
fi wa eaavvmeac' 11.Mau A n a Cass kw.G fined hater • h. R i n i It Lei..ern..
Colvin Funeral Home,Inc. FH83005671
0 Ya X"' 425 North Main Street,Princeton,IN 47670- (FH83005671 -
-lib ^e S. a L� n. N _now(Co inn:
FD01009940
o..r.of O.ea r...lass.e.3.n.A.,.p.,.n.l..)
29.Part I. ryer The enan cle ern—Deeemis.ia+n.a cc' as,a>^Ten Dunn Casnn TM Deo:Do NCI Emir Terminal Eyro Awar,ts
Such A.Caren Ant Rezone ArnA a Ver:.-n'ar Penton Wanwa Slw.e Tle Eadoej.Do wAnna:•Eras.C*One Can On hint.Oen
A Iron AN Anon Live E Neuaay.
tonnes Can nine Or ,� amine„ �s A CI-fRol jSC'085TRUCTsrrP.U11PlaAJR<6 ?r
Cu 404•Cew.o.a Ti S GfA7-�t✓ •
Sq,art.3y;a1 Cga,5ay.0 Ary.taa*n9 To Th Can lion On 6 �L
in A Ens,it.tk erne Can(Daen Or eery Tit 12a.! ”""r"'y""ea
The Ewes rieeneg N Dese)tee C.
G,.,1..IN Ge 4 eye G.Ir 9.,Y,4na nT.MJTV en.*G....n P.,l l.0 nr.n run^0�•
MSS NJ
P����L -G^nST I a,wtt.r.swr•.arw...a+..e.assu.Cle.au.nr an XW
a. mr®tee Canna looms„ yii�e Fs, I a t.naaoar.-
D.,DenyauD.,.e-. I8_:".a'.�m,..rne Cin •nielentsee 0 Nse,.ieennerseo osn":..r. ono.o.o..e CI ens aniene
e,F.aa,n.ve nli•rn:p:.:.e::o,.:.2rat: .w...anr.. Cor+,n ar..a
34 oCIniennrsel 55 TpOlen ,. - o S knOiesniFe.orn ne.Canna Fennnand en)
ILain Awe.:
-
❑Yee
❑w
iii_, t1 • T -
a tone'- -Sean e. C.a In , ( .;A i a rfworf, 34 Aa+o 441 .a 444� ' l' y
30 11.44414 M.senOS) �"" .! •. u Sttn .anw..mv.. `t•
/ Ir 31 - 0t 0enn Denire as Clone
l , 0) A > 1 -1
L ; a!Ao
.,.�..- Bay... l J .�-i s-A .1) ,�c 7 ���...
u.t,_M.nuns a D.C.i caw ci Kabala
•q-Na",a.ASYxte And Of Per=Cati:9 Cm=Oloea -'_s ' �IMtit1 15 ( 26�oy .
Ramesh Patel MD 685 Vail St., Princeton,IN347670- ,_13
u Malawi F,r..i ens Peon 't'r •'I. , -)l%' a-•Ao
-
- • 2
•', ' . pu- 1N'
,T 44 ttnceptaarovf-N..t.a.aanu.y..v)
5sa Fat 40110.(D.4444!1,41-e4 444!S4Tt 7..Sea.4.44441•, 5.en..F ens OM•nett an.a N. .00044000 0.1..nary,Mtr.veva.n der_nVrra.a'2 inn as MnM so e r,,IM
•
v ' nrnA 20
a
malouSaaaie)sue)aev.eaial•a ray uannmwad?DiY aem 914199114 ne■a9.n9.a ILI 4114