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Death Certificate - Mathew, Patricia_12/1/2015`f • ` ' : CERTIFICATE'OF�DEATH��� + >'. � �' ,.' . ` t . - .� e � ,' ' .x � ��ij : )�.'1'�l � .. � �:�� % f) �4 �I+'� : s:t '�, t,., . � ��a� N„ nn�:��z� ��: , t-•..F�R ti,, nnnnnn'a�FaaF-:_�. : .:��,. ����.n�� ��n:..:;' Y o=� .; ; � . ` .: :f ;;< :,, ;: <: � ; ; �� :� � -� 4oipCal' ". : ' "�w, -=� � f �`'� .• ' •� � •.� r•' -�. °`` �.. 0 HoxceFa�Sn O'oere0em'e Hane, �O Nivs MomM 'I•• �` :. ❑ Yes � No ❑�Unuv.vn ❑�InPmient � EmaB�YOeWnmeNOutpaueN Q OeaOan,Pmval � s �9 �aRrertnCare; aofry4 ��' . ❑Omal�hl ���. '. 11: Fazi7 Name Of Nd 4utiMan. Grve Strret ard NumCeO`. : '! � t � �,I _ '� DEACONESS HOSPICE�CARE CENTER � ? ? ; ? ° 12:GYaTOwR'SUIe.NtlZqCqtle: ; � . . 5�1JYCOinyOfpeaUi -:,, .� ; 1<�'MantalSWUPtI'uneOlDeaMi� ' .•• . . . . . . • � :`•„ ��" •• � ��MamMO MamW Bu15Mara:eO ❑ RraceC, ', � EVANSVILLE IN 47747;. � - r�" "'''-' � t VANDERBURGH:.� � ��y�e'�:O„�ve.e.uamear=punri�., � 15.SrviwySpoufe'sname . . 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MaMIx M EM lasl Name �' . . . ; : , � : . ; - f ` ARVIL HOUCHIN ` � FLORENCE�HOUCHIN �� � i HARTLEY -1a.lrtbrmam'sNane ' .• � �•..- . • Iaa R9ationLi�TODecMaa . �-. . 2ae Ma�ngAOdess (5✓eetAMNUnOer.G:Y.SXe.I+PCOee) ` : 4 � . .' > � TAMARA MATHEW � ~ � DAUGHTER �� �" 703 WEST CHURCH�STREET .HAUBSTADT, W'476391 � ' ' • � \ t 'IS.Pb�eIXPS 'Oai �• *•' . � �: � � - _ \ ' 25a. MeTOd 01 Dispov'vm . ' 25E. Place OI PspovOOn (N OIC¢me.py Crema:ay.ONer Rarel�� 25c. Larae � CYy. Tam. MO Sta • � �.ev:a� O aemr.bn �'oma�on � Ercunanmi . : . . . . � i . { e , � . I ❑ftemwalFranState'� .,, . •. ��._' .. " �..d � . ; �e '.,�I; ❑�o� �so�ro.. •�'� BLYTHE CHAPEL CEMETERY � ' OWENSVILLEE IN .. i � 2d,WastaarerComacted'/�• 2] NamesrqCanPleteRdCressOfF�nxalFarAty .�" . ; �:. .. . - •� C �. '. '2)a�IFUnerelMomelicerseNmeer.� � "'- � . 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