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Death Certificate-Wilson, Beverly_9/16/2015 352105 • INDIANA STATE DEPARTMENT OF HEALTH CERTIFICATE OF DEATH Local sde... �t�.,......:..., Staa No . S • / . ..._... I P..a.r.tmrNm.tV.+t Gme...aJ :•uwS.,L,u W..(tl t.w) zm 1 Tawaa.n 1 QudD.el Q+mYYb/,A) Beverly Elaine Wilson Irvin Female { 07:00 AM May 23,2009 58 .,., I D.a. I I.— I »4. I July 7,-1950 Seymour,Indiana G F.let.us ACU[ra„r, IE ItCN,aud n.Ibp,I re UC.a,honed SJ4en:ao ism roots °Ter Xw F,r..r,0 I 0 cai 0�a;.,n D.xe a e t h r t 0 LAO Oa.,,.. I 0 Mw!ea XDads/slizen❑t•rao eu,.taora:.C..w/,0 ref;Owen IT i•n Ita.WM a.a...oC.A.R.4 NC.4,I0 i 107 Poplar St. 12 C4,0TM.EA/al/cC h. fi Conk OlDeen I u.Wwt sS•U Tao a'YY: Patoka Gibson I g(+t.-6d °fn,.dsxrsr.d 0c.aa9 I:sew 0 Owe.lnhi. °um.w. IS ?rvR Sanv,..m. •sa YWU.(...Yanlxllra• IS Swats Una Cmip,aa, 113 u,ea9rs3u.ry John Wilson (Homemaker !Domestic le.Fwxc.-stets. I 14 ww. IA CO l .m IN I Gibson Patoka i Ic Sr..i 4n laser y: yf IC 1N .b C. I r.u,ur.ml 1107 Poplar St. I I 47666 j X" o-c I j v L.ma•Scow .,.r.re I u.+e+a.-e. Primary 12 No White n.Mew.Mel J.414A.:.LL■ V WfY,.•.lFnt lade.Lao 1 ra, VYr,wan ulhtr Sherman F. Irvin Glenna M. Irvin I Brooks ✓V-.e:lwtl ( NLMap.aeu,(II us(.MraaIaw.,M auk.4.01.444, John Wilson I Husband P 0 Box 104,Patoka,IN 47666 I i 25 Rake aDepwton :.t tote,'u l,fuv. Yn Nee 0 Ok.a'arcOune D lC ex,Oroay,c•eo?sal 1 m Lt.-v,-CA stmr4 Ara Sw Orsts'l: 0 0e t0Eto,eeie Decker Cemetery - Patoka IN is-"°C44,44.Ow:L.:US' " 1'''''"``""`°"-"eat`"(''`'`"Colvin Funeral Home,Inc. FH83005671 "' naw°""`°r.r:t.. °'x IXGI` I 425 North.Main Street,Princeton,IN 47670- FH83005671 27b Sritax.uree.knew sir.e:ay... , 17c Lva...w,rt,Wit.o,..F (12 FD01012153 t ...-5:.:...-iG fl .'. K-t._#A•., r. -- Cause Of Death 13 In.enace:ens And F..mples) 28 Pint Enter Ike Cram Events—Oeerscs Irjsnes Or Caiip tae—rivl[Inc*Caused The Dea.11OU Net Ester T errata E.tr ApI m.rt Such As Ceax Anew.RespraM'Art.0 Cr*recta(fOckanmWarms SO.rc The Eldopy. Whet Atbrer6r.=eerOty''CM^a3r On Interval hail A Lre Add.doses Lees ll.Ye:o C 11 - { / io ir.necrr G:nte('sa:newt aCond:a+Fiesl:nG:n Ccetn A �. 146 VrL, /7,C2/51 a/C/f-i F^-� r'A l/ L •C/ . SeGY-taeiLSCav—sr.CA../L.adrlG ro ry Caufe tas•.e2 e C/. /)� :'w.,.t...a.a-. t/ rvA Ever lA lmcartt Cata(OSeau Oc llt�'Trot W:a:M .. I+nta...—...:..s The E,onb FCUfnG In Cat'.)Lea C 1...:O rTn..anr CG 0 T.Pate.EA.Caw Snivant caa,o.C:n14YV:c:ist0(4\W tieIRUn IM1Vowl•A_a.tort In Cr 1 1 4 'YA AJ""rat-9L•WI eiThm.?:CC?•- r- i i L` ai/cc.�%'P. I I ...,..ra.,<ar.:�.b..o..°Y.`.R, „J,,:. o . ,`,I/',Ii.'Y�UUCa, ,. rorl.iar `gqr��u Fn. // n.Sees a Cur. t% •4 0.^D,,.e.ov:o.,...- VT.tFsrn.:.,..,,.. OP...a.-,.&C... D...r->m3..w:aa.,Ca.y:..r I yttL,.o,Ld o.m,or.�-..25..,,,, C :t;.•t�a:-.aqua.:a.t..aa.a+1 D,.r...,I.,.�-I ,.an:.. ff�.0 oa.,x.a,+....1 Cara,rs.lslv'a'CoMm) ---___i_Y-..VA-1".e.,y I %. 14oa0iry EC.C•.ed.:a:Km.(iiweda.T�Pr'+.ar,V.'Mblk..{ MWU.1 °Yrsrlx °M 1 ar TI Locator City!•$a. I L. Cm t.:t., I R -fled A uM. I A •iM I a 101-0.4. 6 Ewat...:..t.n Cau.m i 43 Yil.varwy.try,SImM1 /�-7 C-....... , Da..t C-.I.re'CCe.:.w✓[ / / 1 / I I ' ,qbIts. l P.,rat.,4co SIt, /% _ I! C�. sey� �( `/ `.L.- t_t.1 ((ii- ffl G`•rac.h,+-+1°C,.._O.:shax. 4 pans.!was I Q Nax AdeaY -{,?a Oa*co a Peace.ntfrc Came a oath .15 OA Canal pr.Jam R Rohrer 1027 Washington Ave.,Vincennes,IN 47591- n! v0 y`l J I,.t, t/'. cict 16 Rase Sam Pmb I •l '~a Fc tirvv .K 1I W ruin ii tees M1ia OSm aR FSLgOAII.ry-J.1. 1 , /�' e/ / �� X27 c.c-�*�- �- .'.t-1/(� 5n.Da 40110(1:.90r)ICICIS,V:I Mt as Svc,•man,..r..a'nau With.• .lIA Yana•a.a.T lCII J}nC4-� 4Ya..,a S it CIdE PYFX...Pe C S, • & -o4- auk -3oa- 000. isl -Gb25 - IVRA-20 oei I - . . J