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Death Certificate - Lewis, Charles D_4/22/2016
....... ....,.. ___„__ _... _____- __........- __ -..----. "--- .. ---• .-• Ii 141irrrr;;;JIrtr;:411 Jr•/,:e__.1! I f .-1.141.NDIANA!STATEZEP, . -TM 1 ;• ." ' ' ' Rf"...! ns 'fiudet1, r --±:t , r....--- -+•-•-,-; '-• .,..- t:,-„," --,..;44,!•--'. --•'----r- • Zr ...; 'i---.J.----til :::,t1.! ••4 -,..,..,-4:- "d•-:,• "-!..;:?,R,,...i. _I). ,,..•:.); :::..--,- "%. ,,..:-. .tf,-,,. .., .: c•ts. r:-.CERTIFICATE:OF:DEATH wtst -:Nr.,. .. 3u1.6kOok5t.ty ,.„,,, --,-,„ • .\-.. i ift.tiip:%,,1_,H-4,10_41 •;:.' i -(1111' iMill•-0-_-_lifiec:iirlit7W114:-. 11-r-A0 ■I .:40-111 c'.: t•• --aiit ‹-.:' -%-%:=7: 0 .`,_• x;•••. •L o hal 44 o)000138Ka --.:- ..k.SEDR;Nop0.000004164797!„.:8S: ",.stat6.t.io:-.0440380C, ..(4...6,::. ,1:: Cli O•Cedends Legal Name:CR.7A Middia.pIrett.tiffir./I -31:!!"; ii.!Wr'"?;•,...1I Pk 4,,,,,'"IntrY.tiffri.c.,"hrlt?..?'"irft --ilitirC'.1 rai.",;.. 1n1 Ft..;•;■ic.:- 1:11••.T.211-4 11 Jr'a%I! :(1.IlgeI2WaY4;1 ;CI.41 _MU P''.(441re-11.441K-Zt•LIII rdit: - U"A•4.411...... p:?,..:41V.-d i ,il. --_,,, i,,p-"":41'.:,.*.'1=i --51,1j4.;!II--5;...11i ;-• Aip:....<AI °St! j;-7-; Ilkiinfili",■...1.5jji0:: T t.CHARLES;DOYLELEIMS>s.-::,'"x",:1■)-C: ::: -4:`....-LSF.:,+It.:- . .-Nzt-..7:- :.1-• -•":„. d.--‘.., ;24,.."cs..:35K xtMALEk<tkx,I06:10,PM:sS1 Szf,$,<:08/19/2015::Srrxitcnt S.,?...„, , - ..... 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C i '. r. t•-" :.' -:-- '''- L X. :-',..1112;.:S, 1. ,:..: %,.2011:NORTHWESTERWAVENUE.-.:• 7 ' .1. .."; .;:.:._ '-i. ;:.., ,,:ii.-,:::1,27::.-;,13fic-couty;:•:...gpeath,..; ,:., .. ,, :.a. ;,......-;ts-..p..95aiS,..1st,s,,....f.;:/:r_me..-....i_of 991::::....ii:,-.4.:::!..f.l.", :... •.12•Cay Cr Town.Stets:And Zap Code a tc, ,:" . ."..;.?",l'i": ... z••;"' n' ',..--: ' •; . 0 Maned 0 Married.But SepaaMenn 0 Ommoad :.'"...; i PRINCETON.;IN,•47670, - ;:. -- ;•,,,...„, , ,.).. .• t• Gle-S'ON: , ....-f":`7„ 11. ;•,m- :./.". .Eiy,:b>iid.;:.q..N.eiv95i.5.14q..upi?Etn,- 15 Siswn,g Spouse a Name-'- . . .,...:. .15.s. el wee)cive Maiden last Name: CI:cc•,t „ , IS Decedents Usual Occupition : :17:Inne,01B...nr_s.,.,Andlapyr•-;,,,, 5; , .‘. 1 I: -lit, va..., . ....... , , '.•.• a 1 ' •• - ''''' -..; MARWANN LEWIS. _ .,.. _ , ... '.. REEL , !....C. 7.2)-I ,.•,;:-..;: 1-i• . POWER PLANT LABORERI • UTILITIES .;;;,.; •:.- '. , 2. :„ -) ▪ t• 18?fIe14°Fa stes' ' ' • ' ' ' '82- Gamy •.a'''''',...)-• ';:f.-z""..,.//' :' 'IEIRC•IIYI3,50m, `a:; nz•--:".a. " --:•-•:•"-C .." t. "" ' ,..-?..------i.::-'1"5.<": A::::r:.iirest:"•-• • . - ' INDIANA:77..;:=:',...-., ' : - ' z., - : '.;; , -, ;. 7 - ••• . i • : '..; > , r • 1 .:,. 2;,' ir 0 .TH . .... ... . .. 0,' 211PRWEsT54111N05 : NO' .. 11• -", 4760-7.,.: 7,-.0,--'1;[-S;'?;*:77-:-.; t•-: E19:1DecedeMs Edmabm'C,;• ';: .'' • - . 20 ricari?nt°Qtr.°"‘"n;:i. s'L<- 'Z. • '2,19`r-V,-,11 :-: ''' -e.;-=•: I-f '• •• - •••• , :'- --7=z ! 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GLADYSWEVV1S.:- 1.:;;;;) •-••Tin, . • 1 DRASS55; ! -• : ::^;. ,2 I ,: ..•, ,- 24a RelattOnStip To Denderd 'cdfd ,24o.-Maing Address(Street And Mather,City:State,Zip Code) -• 7 ' 7 C.,.., ,,r i ,„: '. :d.c, 7.,, -2 p: .-,_•• _.: : •• • . • • MARY ANN LEWIS " - • '• • VVIFE;:fl•'--,. .:'---H, s 1.- -- 2011 NORTHWESTERN AVENUEj PRINCETON;IN 47670. - ,:-. ; :-7,:z.1 ...■.---:g.<7;r-f....< . "::- -:- c . I 7;••• $;--..>47---: "-7.; -_ ;71,-ii:kia;o-i8;;;Zia.;1/4,..."-:2...:-.11::-S1:4.7:-.,-.7.2,:isrdfc',.;,ii-..-5 7 •,- - -.. f7;.:--".,. !---. -7 J-r. .‘:"'-‘76 :rt. 25ra MeMr c d O f Cmpiosiato n.>„ .c oen& r -, a- 25p Place O f Dspcstcn(Nm Of Cemery.Cremaoy:00m Place) 25c Lccac -Caty.Town,And Site .. • : • ..• -:2,.:.?-i;....; .; ..i. '-'' c''.,a. : .." .:I -:.V.F•C;1- Irr --.1. lt, - - 4" .... 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' 7S'''. . . - :, 7‘-.: - • S, ...- :-. imnithatelCause(Final biseaii0i Condeing,Ressitma k Rea)) ' kt PANCREATIC CANCER WITR InTEIMETASfAS S.,"" •.• f. , - . - ' , • ' 2 MONTHSfn,,. , i• • ---i• • 4 ••• eo -,K.n tutu - :.... i . i -,„ttt----%-zuii,--'-:4!!--.5.i?.,v7---° . •,/ •• :--- . •‘• . .z.::- • -.::-•- .:: ••• • • . - .../. - •• '`• - • \.. ,-: .".- -_:f. c.?:-,;.s...--cS.:- z ' Sequeaia6yljslConda,s If My LeadeigToTheCataeListedOn In A;Enter The Underlying Cause(Dsspçse Or fritzThaIflhsajet1-_ %., \ .j..;,", ,,,::, 1 „: J. ,. s. ,•• ,.. • TIMEventiReitntiv In Death)Cast • •• • ,t''' c. • -... : a --. ::. :..:.: z„, ■.. , -, , - ': c f • I. ; . . . ; 1- . ..:•.”"C."Afgrerri . - . 5 : ;: GIBSON COUNTY-AUDI. 09; ; . ..:::- 7 ;--: 2 -, }.-:-.. : . .. .-.. _ .: ,..::.. i.2.,., j.t --.11 Pane Enter OtherSa,ce,I Corttort ConmLefl,o To Death BOI,Not Rem! In The ut.71661119 Cause •-• ' 2•9't Was An Att*".-PerffIrIne51?" .c' -Ye; " b.1:4; : /'t- •7 1' ' s' -. -. .- 30 s Macgay Erdaig Avalabte To Complete The Cane Of Deed'? C)Yes'[I S4o 31 DM Tobacoo Use Commate To Death? 32. il Fame*:; •-•-. E -- - i-v-,:-... ---I: :'; :' ---zi--:-% 33-.itianner a Denr• r ::.: .• ''..Ne-.7):1 1,1?..•.1.5:: 0 ,,...:....., Op 4 Tmt Of DN. 0 Poa drmdk Oa Pre.a.adVded,a 4,-1 a :ode. : Cildiatr'al 0 Idccrici40 :0 Accident 0 Perafroi InvabOaaan 0t,01Jb0M , ,7' • ; 0 W Nig..•••••mmmt 0 c•-n n1 rm Ntn ona.',..a 0 narnm •stIntmatmem no•••Yen,z ":. 0 Smande 0 Oak Not Be Paterrnund .'-a• t-a...:- " ., ••.z. '. t, .m on Of Sy(M CeMpayryear).../.. , 35, tin Of infra •-:: _ , . . ..- elt ,. 4‘ 438 Place C01 4 l;yhriy j(wE:rkG.Decedents'H'o'neConstucton Site.Resaurat,Wadded Sa)::: 37•Irtry S Yt0 -,;•t ';'I brorge....-: - .:.. 38. Location Of alu-y-Snrm• . . 38. CityOrTosn S '' : '-'.•'' •'" ' ". ''. . ' . " ' • % •• , , . , . . r •..- . 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' . : ....:.,-.. -. ; ; MAQB001.2AHMED:,-BY ELECTRONIC x-i--a-.--_- --- - -- __-1.:- -....-•-,-.... ,I:g Centfying Pray-Mann :: El Calmer : 0 Heath Osier,c .>"'",-,:- C.Name,Address And to Code Ot Persan Calayrp Case CY Death: t .-dda..-7,4...?-ardenti .....-....rs.... „r*fle+r -i7 -', :. . 44. !Mena Mangy. 45:Dads Cart-aad• a , In' ' ' •- ''. .- - - • , , • , , . ..: • .:., • t"'- ....C- ItlAb10011-AHMEb ,421 CHESTNUT ST, EVANSVILLE;INA7/713-r4,_:. -z-niit.....;7_,,,z 7 - ; 01054343At- . • 08/26/2015 ...,' ' . i•• 4, -;.:{‹.••,-S:.7 ,..":.‘r• .".. -i'•.:=2.4... ...; i, .,-z','•••:;,:•,--;g1S,,SW.4. - ••.4atttiet-.)-..-- ‘.---',) -- :)--- -.,. ..:---- ,),=-f--,- ,,•/---, 2 .. c.::;0);-:&.., -.Lit P-ir--..`111:a91,tar.PIF!ar;:1%-.::'i •-.‘;.-.-- •i'"---: '4, '3 ;''??{.. 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I SelF4CdY41.13 bc-.F9(251L.M.-t!ed..5Y.„...**,......:stat4IrcY,!'6^?ect....-W=MTP,si.:ZiI 7,-,ca.;a nr......-u titiaka 1 im-,---,42 i a 1.---/t.M1 I:r./..mi I IF-„:"-o 1: ...."gt • /SAKI II RI rA CUMENT,HAS AMUL'OCOLOREDIlACKMISURO'CE•ISPEZIAL WRITE SECURITYPS•PER'ANDaTHE GREAT.SEACOEJFIE STATE OF;INDIANA ON BACK,THAT , Pr•ar-tIlli In IY111111%.1':,:11)RNS FROM ORANGE.T0tELLOW WHEN RUBBED:ORIGINALThOCOMENT HAS-HIDDEN V:,•ON FR•4WifieT"APPEAFla WHEN PHOTO COPI •>it.il.."aY.r...f1:■7:9!--r:P- -