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Death Certificate - Bryant, Larry Ann_1/21/2016 FIovd C0uny Heal in UUee0Sta "- \ r. < °,§..'I Q r A1D neZ, N,47150 CI t ,fl �' i ( `INDIANA STATE DEPAR-WENT;OF HEALTH .,, 1Sa a 5 nn . )"` ` a• CERTIFICATE OF DEATH :- ‘ ( :=1 }} z Local No < r State No ..- # ?`` "E t.,A7 :..19eced Lap{ L2E .ist) te.Maiden Last Nae(uFeryn)CSS *7-,, 1Se 3.i fD a +-4 iY lwrc ayN ) il `�" .Ij yrn`s,.�,;a: ;mot, `' Ann ' Bryant _Hudson .g '1< Female •: .0.3D PM "'November 11Ei 7008 -` 9--.. InUSOnly Fortes] 10.d Deaf,Ocaarc'In A Itspilet 10a C Dean Ocaned Sarekre(3Ter Than A Wsptst ' t fat • (sp =y7 t . :.�rth y, ❑Yes pw ornp.n 0 peooaa DSnemrn'Depa�rent aspkra°Dead aA,..l Dwsq«Fealty 0 een Flame 0Mary ronusrsr En Fealty thl . ., 11.Faoltr Name Dr Not eseuwn Give Street Are lamer) . }•'"'W'-et: ,Floyd Memonal Hospital Sr. ..°'L� - - - SS V I'.1' yr '4 aYOri6�.ti Sta.e,�Ap+E aCCad iti-o 4_- �3'Ca'Y O(Da2 1 Ys-ial Status AI nsIXDer 4 � ' _s a 11 &awned Ouamae.a aSgared OCt cx . ,kx.arNeu A1banv,Inolana 471}0 `Floyd ' -. Dwmae_ u r-Du th •-•-i>fS,Sniping Spouse%Moire '°' 15..01 Wil e)Give Maiden Lai Na.- I6 Decade/the Daur'a+te'on t]. dESixasM1YUry Wayne Bryant Homemaker DomewesNttiicaa.yya A to R . Sky ! • 'R2 V•i, t FiJ to L<.ay.` i t y d 1BO wy a t ;r ryL• [ '.. R eE 1' +, e M� y A, •_•:•.• 4 )YS 1 lt- .•,l-idtana ,s�'n ,y tA..z.{'9,M Floyd-. y. ..:` Flo`ds Knolls " • _ tack Street AY.otter I Be.ZAP Code Ie1.1.-5¢e O:y LLet? ts Yes ONE . 65 North Hill Drive . . 7 • 47119 - im1is ar ':r9 D team. t-r v ar, 3 20.D«arap pa<tC ., 2:-De t rs Fan .. , sF t; tc f�- " g s d Some college aedn,b ut no deg ree NO . . . While -=.2z.Fenxerw:e(-nt:2.tuve.La::l 23.Moths awaaz(FU::r..�e.,a:) 23a.wn+'aO":^'. ' Durwood Hudson Mary Rice Hudson Skinner , . • 24.vdonrnt's Name 24a.Reiatgsha To D_e:.eeer 2<c.Maity AYress(Sort At ante,ON,State,a:Cxe) -- -•c y,_ z�-1` David Bryant Son 2192 Jeffev Drive. Hilliard.Ohio 43026 - `� _ 250.Race of Dspoaition(Name Of Cat et . Gera: ) ' ' ey, xy.truer Race 25a.Method a'DOFYbn LDSs al Dances 250.Rothe or Dapci'n(Nate Of Center).arne•:ry.aiet Pace) 25th LY n-City.Toys,At State . 0 Donation 0E.m a 0Ra:royal From Sate November 6. 2008 a. D Other(SPeay). Lakeview Cemetery Kentucky- Providence Kentu _- 26 Wasccroner Ca..aae: ].Nara At Carpets AYress IX Finer al Faaty .- 27 NomL • • Seabrook Diec'�anann Ss?'av ille • ' DY 0•°� 1119 E..Market St Ne4,Albanv. Indiana 47150 - _ FDH19o000 _27P Sy :thee?Stirs Fora:Sen, os,ax / ' ) • , 27:. at-nc(Of Licensee) - / �}e ./.../v,-7.71) • //_ A r"---4/�.� - FD2960007D V _ Cause of Deal?(See Instruction s And Examples) 28 Oar:I.Enter ore C.a::,c.Eve...s -Diseases tljtr s O.Carpi a-t Tar.D:e y CsLSe.:Ice Deah Do'. 'E'e to itit Etel's 'a •Sucn As Card ac A.es..Respiretcr ArresLOr Ve ni:de Fb.:lIa.ier,l lima..Snowing The Etoogy Da Nc A7 elm Enter P)One Cause Cr, .t �.,ifc,1 L a"see. :A LineAdd A"-dGoralLir 1.1 Necessary. - / ,( t / D. ..1 l-tneo date Cause(Final Disease Or COndr5On Resulting In Death. A- 1:'��..�✓-'-'` v✓ r�.(/ `'. ./If .- wTer>a.frna.a,aon a.• ':Sea much)Lis:Can ' o s.If Any.Leaning To The Cause Ltstec On �s s� 'iceEae:TUi YxnS._ause(Disease Gty.ry mat Initiated puT.raar<,®<,.,..oa; n ;' , di The Events Real nc Li Death)Last C. _ -_Yy. _qii n . Pal O. Ent o<,r rte-Cord Sons Corthibett Is Cede But Net ResrNgs e.he ugwryeg Eats.&.en lc Pan I. 29.Was 1 Army Peder-,e_2 O 'ee ©l. -.. CUB .0 %r-rl./ 33.Wee Ahoy Feiss Avaththe To cs nne.e T4 Cause Of Df&n] � 0 yss 01E':.• ce 5a. E.T. €ac 31.Dia tobacco use carrane To Death? 32 Brrra,e 33.a OC°s _ -1 ❑Pm,,, ❑' ❑:..n;e, ❑ rne.e sa.,.,a.,.. ❑ems. o ❑ apeK•. ❑e� ❑....... ❑ ❑ate ❑vay.,eu M1Ca.uam:a,wse ❑ y.D. ❑.Rae Orm•.,[.oA'ea) ` 37.Lin'M1N'erv.7.. 3<.Dale a r4sy(u;rtroayMear) 35.Tune IX Lyry St Par CO r)(EG,Cecmea'a lc.-e,Cp:evsmn Ste,Rasta - tAeal �,+,•2 ^^// 11/��/�a� a DYes •Ei$ d{1�� -J I �SiOIV 3ac].]L b_ tad Cate -1 St n.lertorttgci sa 3ea.ay aTe.., 1+- c r tot A X i n39 DescMeFW1'yaY Dc. .°] -- 44 11771•1 e • a • . • • ❑.-.•moo.... ❑e. ,-❑o.+. 5 ❑ .,.: <t Sy,uw Of Peron Cetyng Cause IX (Yh///� 42.Cart! ICron ally t]+) M �/ 'l �_ ©r�.c N.®. Dr,°`• A$. .15`r � p�ni Lt�J'/+ H ` / 1 t < ^fps•! -`43 Name lq rthi Nd Zap Cad IX Pawn CwrYCy Cate Vat" Nrgr .D Cyr G� .• 0, 6 5 2. q 4-...? /// ay -- Brian Helmer.M D 1919 State Street.Taw Albany.Indiana 47150 a>���'y it.46<64 rel1aer 5rt Plovd - a 1 47 elan::-''•�S }s-. Cam` -,r (K4 48 v 1• P f a ar - <9 F A 9e Only t.F'et IMd N'Day7 ea) ^YT ,c,y, �"" V use i.> 1 NOV 012098 �f Lh • � 4i2.1.2.•.• 4: •21 it .- 9j r3/4s s�� 1 2v t �s suu Form totre(R:19tcr1 •r1a,+tve rsn.:t_,+s.vs...w ..,. ..,.... �r.w.+4 a.e .wn•a +t-we a yeas _ eP l a. . 1 A un .,h.s F.� c 2-• 4_vv j s- - - , r - I + x r D BY HEALTH DEPARTM 1• -_w•= e_._-.. __,_ :. _ ___ 3t�!IIIdIIi.11A;tilLLl ' 7• 1 . 1 It ad -Daah-3oo -coo 0610 o ie? 86 -oa - 41- ooa o00. 0�9 0 Ib aoo - 600 .a31?-072 a(v- bl-I-d4 - 300 - D00 .00- Dao a6 -H- a.5 - /MD - Coo' o 2S-895- 696 ,20 -aq- 3vo - 000. 08.1-I - o01 124, .a0 - 369- loo- OW. D23-06 ' 02G -a0 - 369- loo - Doo. 599-061 a(-ao-3a - loo - 000 - 60o -Ooi FILED JAN 21 2016 GIBSON COUP:"i i •^+'+'nR