Loading...
Death Certificate - Boner, James M_12/16/2015�. . __�;"'.`lisi%i!`_^`'=i�_i.E.?`%`f'Tk...'\•z�_ , . : � ' E . . [ i �< �� . . . > � ; . ;-; � G : �s `. .�. 72 ? ?. M�^� ': �'�1 p+n. 't .r Nw� ' . �r�es '�� . ; : 12/10/1942� �FRINCETON`• IN � f ` . s z 9'� Eve tn U.5 0.^I�N Fares�: ;0.11 DeaT Occ�neE In R Mmpal - ' 1Da. If DeaN OmureC Swnev.tere OMr ihm� A Mmpaal� . ', 1 a�,w� � A:.n� ••., �' . : y, �':,S � ❑ Ho�icefa3Y ❑:DemEeRSHame �0 NvwqN?rtWlmPbmCmllFaoSry ��� �':'..:; ^. I � Yes� O"NO ❑ urv�„am ❑.ucr�rn � �wg!�roewm�aaxY<m p o�moo�m pby,�csa�nl >� . - ' ? .t'`.. '' . � 11_: FttE:y Natx� Qf Na Ins:L]a4 Give $trM aM NumCe� � �` - I, ' GIBSON GENERAL'HOSPiTAL � ` � • � ' = > �f � ` F � `� ` ` �t2'6'Y6TowTlSb'.e`AMLFCOOe; �� ' . � : '13YGanbOlDeaN � ./ : j 1�.MWa15ta�nNimCOfDeaT ' � p � ... - , � x �., i " � .. i� � ' .. - ��Y,, i . y I i � ' � ua�v.aO M�aMsa �n5eGr5:w ❑ orv«cea � , PRINCETON iN�47670. .� ��'� : GIBSON• ❑"M1OVw°_°. �" '"""�v�pu"b'°^'".: 15' Suviwq5poieesNane < ,� , 15a. pfNLY�GrreFlaiEenfariNane 1�8. DeceOmtfUaolOCaqvOm 'I]. iGnCqBuvecssllnGUtry . t £ �. / LAVEDABONER� .?��� BELCHER i a� �. DRIVER' ` AGRICULTURE� 3 �.1a.-Pesaerce staze : t ,. . � 1ea.CamH . � j s >p' .�ee CnraTO.m`�,. ; } " `YS < R . - INDIANA �' GIBSON . `- f, PRINCETON , �: ��, , � 18c $Yeet AM NumDe�,Y ' . .� . , r . . Y � � / : 1 � 1BE AOL N . • 18e. 7N CoEe 18t �I�uWe CM1y lsNt'! ...:I :f . • � � � S . ! 1017 SOUTH GIBSON STREET � . � ` � � � � � � �e` p No � i z.. r• � 47670 x, . -,s.�ocxe�m[.Ea�on > . .., � `� zo. oeceacnawsparuca,o�� • .,. � ��+- oe�eaenr:Rarc : . � HIGH�SCHOOL GRADUATE OR�GED � , � ' - � ' � ` - � ..-_ "l. .. � .M . ' i ... . s .r � ` .. ' COMPLETED � `'�- : �. .; . �� . , '. NOT HISPANIC . - . • � � . .•.•� � White ...�:"� "., �- . ..- . � ��• , . ,. 'r' � Z2 FaTefs Nm�e (F t Miade. Last) � , � i . 23. Ma'Mfs Name (F�l MiOae lm�l � .•.. 13e. MopiNS MIDGen lsst Name T � : : : e : , c : t . 3 : : ' i � ♦ . ". � . ` ALFRED�JAMES BONER `\ � ANITA�MERLE BONER � t TOLLIVER �]I.I'.t:nv4sNarne..' . t ` �. .. i�a.Rtla'.msM1GT DeQEert : y,.. 26J MxieqFEtress (SVaetMENimCer CM1Y:Stte IAGO4) : ' . � �i : � � e 'ILAVEDA BONER, � Y ��� WIFE "' °� :1011 SOUTH�GIBSON�STREET PRINCETON 1N�47670 i� . �l.. .. ••- �zi-aiamaas"snm ,.,'S-'t: '- � '1 � zsz. umm a aao�u+ � �se. a�are o� uwosiau, cnar�o rn cemeven cremzmn a,nu au«� � zx. �nmoon un. rw.n. Ma stse �> �> �. &ral 0 Ge-iGm � Omaaon � ErcunGroN [ � •: i ; i . ❑�Ren.walFmnSCS � � f : � � : � � i / .- .` ,�> . � 1 � � ¢,'�. ❑.o� tsx �m......' IOOF CEMETERY � HAZLETON IN �, '' i s :• 25. N'm Carwr CarcaCeC'! :. � y� I]. Aene Aed ComO�e AEtlrms Of Fuical FeatY. ✓'' . ,. s. --e� ��.•� . . ]]a: Fuieal Hane lice'm Munxr . a ...� ' . .i < . `: :" �\',.„ . a res p ryo : DOYLE�FUNERAL'HOME 520 S MAIN ST� PRINCETON� IN'47670 . ' S-, FH10400010 zlo. simaam OI 4i6aw FuwL smxe ucrosee. . ., �. , z. x -. 2)� lwu. Nunec (q lramee�: ��. BARRETT W. DOYLE BY ELECTRONIC SIGNATURE� .' .` -' t��� • FD29500009 - `. I' .+` t r �. .% .� '�... . ' ,'G�m,Ofoeath (Seel'nwcGmsAneE.<amPlesl' : ' . . .., .' . . . n ` �Apprmmale . 28. Part I: En er Tha Chan OI Even s�Divaes ries, Or Com 6catiais� TTat De � 4yu p eCty CauseE The Dea',h. Do Nol E�Yer Tartnvial Evastls � - f Ir�:arrdl Omet $�xT As Cartliac Mest, Respuatay Me54 � �arW�lar F�ENlatian W�rtiwt Sliowv�9 TTe Efiobgy Do Not A�bevw e'.FSter� ONy One Caue On . � - , To Dez.� A Lvre_ PtlE Atl6:vul L'v�es M �ecassary. � , : ' . ; � ; ` ; Imnetlu.etausa(FnalD�seaeOrCaq:LOnResWtinglnDealh) A RESPIRAiORYARREST-+ t �� ' 30MIN. .i. ;_ � ; . : . .. , ` . . ` �.m...uw.e�ce. . � . . . .�, t .,, i' � i �. .SepuemiaPi�istCaWAVn IfArry�LeaCiqTOTTaCauseL'ateCOn B. PULMONARYEDEMA� �e� .�par % , �- 6MONTHS Line A. En�r Tha UnOayuq Cause (Disease Or IM�Y T�l IMiatatl " . i�. .. f ' .,. TM Evems RewltnB In Deam) Las� . "� � . • C. � , a �' ., /' . � . . . . tl� foYnW. .. � . . \- �. # % Pa.II. Fs:erONC �'�•^� M+� �� o OeaN Bul Nd ResW�np In TM UnCMyvy Cause Giuin In Part I 29. Nbs An Au'.opsY �a�� ':0 YBS <�] No . ' . . . w '�': v./ "....,�'•,. 30..WereRV.oCSYFitl1^GAvadaeleTO�anpeteTMCausa010eaTi '. . , ; CIRRHOSISDUETOMEOICATION. � '� �' < i .� .❑�Yes.O�NO`. .. �• . ' . .i . - ; 03.,MarcwOtDeatR. t . ° . . 31 OE Tmarao Use Cm:Mate To DeaTi • 32. 11 Femala: . . : X i � '. : ; i . . . . � � �� ' ' � . Q rwfnw wmran.. � n�w'+uinrao.+T � ramwn vn•v�.���dnawim '. � Na�aal O�'.❑ AcaO!X• O Pmdnqlmestgation ` Om � D.Yes p`�no�o�Umr.o.v"n � .�ran.wiuw:w+au.i�ra�i�,e.s.uc ❑uwe..:"vn:o.-+�w.�ii.n.r.., s' ❑S�itlae�CalaHUBeoemnnuba 3a. Oab Of Iryury lMarJV[h�lVear) .'+ � 15. Tma Ot Iryury. '. . ' 38 Nxe Ot I jvy (E G OttzCem's Mttna CmsNrSm $f.a. ftesNiaant NboOeE Area) •.1 3) IAVY At Nb�ki , I `\ . '� . / i . ti �^.„�,i% f ..J ' ' . .� ' . f 'O Yes � . O No - > `a �. � , � •:• ...� ..:y„ I 38. LatafionOltrl�+Y �Staa 38a. C�ryOrTam � ' I 38D areE.Jllvr.De 3BC AMNO.'.� 3BC LpCOtle j/ t � , _ � � x� x s ; .39.;DesmOeHvxITW�vneC . ' . . � <O.IITmspMebnlT!Y. . 71'. ' � % i ' i . < . . ...' �. . - .- . . : - . . � -` . ; . • ' � � � ❑LFn�4'm QhviP Me�ma ORiwflPall , . � � �. � c R . .` r ` � - . _� G.. ` ' ��. .�.. . ' ♦ \ � . " .r � . 'Y.n._ . ��... . �. ' .' . .. ... � at_ S4'mre OiPorsmCa"MSCa+xIXDpU� � : . � � T ;� � az. GmiSa�fC�kQhPx) . . , . � , ; ROBERT.D.�BOND �BY-ELECTRONICSIGNATURE' :`- � �^�'� i���i�oA+r�-c ❑�«n�..�:'� pNam^or�: ' li. Name. P4dress lW Zm CoOe Ot Perwn CaNW�i Caus� Of DutR . '- : 4 u. Liu'�u Nuibar' a5. Daee LertifieE . ROBERTD'BOND�685.VAILSTREET�PRINCETON'IN,47670 i.. `..�.'? � 01030202A�-:'.t� .. 04/30/2015 . e6..RG6xnalFwralSavlmROriav .:z ..- � ,.,✓` T�. - ��;r��' ��� � �'...•' .\ `r..,:E !'. "-` . . \ . : '"'^4 .! ':i�� : f iCi:, Y. �1e:. �;v. .v.,, �.✓b� �.., y �. aB. SqnSU�e d lMal HeY'Jf O�� . �+"�'+ "a� ~ � !9'� Fm Reifstn� ONY; Dab FtleC IMOn=WallYeatl.y 3 `; BRUCE BRINK JR�1/IA ELECTRONIC SIGNATURE �` �. . ': < . -- � - • s - . � �` ? -APR 30 20Li ° ' ' % � , _ _ . x , , _ _ _ � , , , . , , - AMEN�MENTTOCER7IFlCATEOF.OEATN(ENIAY;ORORIGIt1AL) �,; : < ;� � C: :� ��:t_ :a•. ': The SodalSearcib A �is i .:� ; . ,.:�= ' i f� <;��C�� m � �� ���� �0-04---1 � ��7—� oo- ��s. 018 r�� 2�� . . � .. .. •-� ., - � , �, � a-��-�s F I��� DEC 16 2015 �� GIBSON COUNTY AUDITOR